Individual provider Active NPI

Wendy Armbruster Stavenhagen

  • School Registered Nurse
  • Cato, NY
National Provider Identifier
1104455229
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
453522 Issued in NY
Practice address
2851 Route 370
Cato, NY 13033
Phone
(315) 626-3320
Fax
(315) 626-3446
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 453522 NY Primary

Addresses

Primary practice location

2851 Route 370
Cato, NY 13033

Mailing address

12949 White Cemetery Rd
Hannibal, NY 13074-9508
Phone (315) 506-3711

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

State licenses

LicenseStateTypeSpecialty
453522NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1104455229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12949 WHITE CEMETERY RD",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130749508",
            "telephone_number": "315-506-3711",
            "fax_number": "315-626-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 ROUTE 370",
            "city": "CATO",
            "state": "NY",
            "postal_code": "13033",
            "telephone_number": "315-626-3320",
            "fax_number": "315-626-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVENHAGEN",
        "first_name": "WENDY",
        "middle_name": "ARMBRUSTER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "453522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cato, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.