Individual provider Active NPI

Karri Anne Stenberg, RN

  • Registered Nurse
  • Montgomery Village, MD
National Provider Identifier
1104811371
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R151303 Issued in MD
Practice address
20405 Hancock Bridge PL
Montgomery Village, MD 20886-5814
Phone
(240) 388-6658
Fax
(240) 477-6699
NPI assigned
Sep 14, 2005
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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 R151303 MD Primary

Addresses

Primary practice location

20405 Hancock Bridge PL
Montgomery Village, MD 20886-5814

Mailing address

20405 Hancock Bridge PL
Montgomery Village, MD 20886-5814
Phone (240) 388-6658

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
R151303MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1104811371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20405 HANCOCK BRIDGE PL",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865814",
            "telephone_number": "240-388-6658",
            "fax_number": "240-477-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20405 HANCOCK BRIDGE PL",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865814",
            "telephone_number": "240-388-6658",
            "fax_number": "240-477-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENBERG",
        "first_name": "KARRI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R151303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.