Active NPI
Nancy Jean Sticha, NURSE ANESTHESTIST
- Certified Registered Nurse Anesthetist
- St.Paul, MN
National Provider Identifier
1124221650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R101782 -7
- Practice address
- 640 Jackson St
St.Paul, MN 55101 - Phone
- (651) 254-0000
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R101782 -7 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
St.Paul, MN 55101
Mailing address
640 Jackson St
St.Paul, MN 55101
Phone (651) 254-0000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R101782 -7 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124221650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "ST.PAUL",
"state": "MN",
"postal_code": "55101",
"telephone_number": "651-254-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "ST.PAUL",
"state": "MN",
"postal_code": "55101",
"telephone_number": "651-254-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICHA",
"first_name": "NANCY",
"middle_name": "JEAN",
"credential": "NURSE ANESTHESTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R101782 -7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St.Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.