Active NPI
Jamie Lichtenstein Stackman, PA-C
- Medical Physician Assistant
- Gaithersburg, MD
National Provider Identifier
1134449614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0004117
- Practice address
- 7 Granite PL Ste 14
Gaithersburg, MD 20878-6607 - Phone
- (240) 631-1170
- NPI assigned
- Jun 7, 2010
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0004117 | MD | Primary |
Addresses
Primary practice location
7 Granite PL Ste 14
Gaithersburg, MD 20878-6607
Mailing address
7 Granite Place, Suite 14
Gaithersburg, MD 20878-3201
Phone (240) 631-1170
Other names 1
- Ms. Jamie Nicole Lichtenstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Schnapp & Barth, P.a. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- jamie.stackman@jjfm.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Silver Spring, MD
- NPI 1710919485
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1134449614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GRANITE PLACE, SUITE 14",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208783201",
"telephone_number": "240-631-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 GRANITE PL STE 14",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208786607",
"telephone_number": "240-631-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACKMAN",
"first_name": "JAMIE",
"middle_name": "LICHTENSTEIN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0004117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "LICHTENSTEIN",
"middle_name": "NICOLE",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.