Individual provider Active NPI

Michelle Stachowski, LSN,RN,PHN

  • School Registered Nurse
  • Moorhead, MN
National Provider Identifier
1124981071
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
23078995 Issued in MN
Practice address
3601 12TH Ave S
Moorhead, MN 56560-8100
Phone
(218) 284-8311
Fax
(218) 284-6533
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 23078995 MN Primary

Addresses

Primary practice location

3601 12TH Ave S
Moorhead, MN 56560-8100

Mailing address

3601 12TH Ave S
Moorhead, MN 56560-8100
Phone (218) 284-8311

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
23078995MNMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1124981071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 12TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565608100",
            "telephone_number": "218-284-8311",
            "fax_number": "218-284-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 12TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565608100",
            "telephone_number": "218-284-8311",
            "fax_number": "218-284-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHOWSKI",
        "first_name": "MICHELLE",
        "credential": "LSN,RN,PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MN",
            "license": "23078995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.