Stephanie Louise Vandal

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

22377 Linden Street
Deerwood, MN 56444

Phone

(218) 534-5425

NPI assigned

Oct 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1114253804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "DEERWOOD",
            "state": "MN",
            "postal_code": "564440191",
            "telephone_number": "218-534-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22377 LINDEN STREET",
            "city": "DEERWOOD",
            "state": "MN",
            "postal_code": "56444",
            "telephone_number": "218-534-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAL",
        "first_name": "STEPHANIE",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Joseph's Medical Center (Essentia Health St Joseph's Deerwood Clinic)
• James Daniel Strampe, DDS
• Peter J. Strand, M.D.
• Mary Viola Thalberg, MS, LICSW
• Treasured Time Adult Day & Wellness Center
• Matthew G Waffensmith, PTA
• Jaime Beth Waller, DDS
• Lauren Weitnauer, REGISTERED NURSE
• Rebecca Leigh Wilson, RDH
• Martine Gneme Zoumanigui

• Doula in Deerwood, MN
• Providers in Deerwood, MN by specialty
• Doula in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.