Individual provider Active NPI

Angela Claire Stemm, RN

  • Registered Nurse
  • Sussex, WI
National Provider Identifier
1104167220
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
171281 Issued in WI
Practice address
N58 W24071 Clover Dr
#53
Sussex, WI 53089-5115
Phone
(414) 813-0114
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 171281 WI Primary

Addresses

Primary practice location

N58 W24071 Clover Dr
#53
Sussex, WI 53089-5115

Mailing address

N58 W24071 Clover Dr
#53
Sussex, WI 53089-5115
Phone (414) 813-0114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
171281WIMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1104167220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N58 W24071 CLOVER DR",
            "address_2": "#53",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530895115",
            "telephone_number": "414-813-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N58 W24071 CLOVER DR",
            "address_2": "#53",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530895115",
            "telephone_number": "414-813-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMM",
        "first_name": "ANGELA",
        "middle_name": "CLAIRE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "171281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.