Active NPI
Stephanie Lynn Hayes, APNP, FNP
- Family Nurse Practitioner
- Green Bay, WI
National Provider Identifier
1144654120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5413-33
- Practice address
- 1580 Commanche Ave
Green Bay, WI 54313-5751 - Phone
- (920) 435-8326
- Fax
- (920) 430-4659
- NPI assigned
- Aug 27, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5413-33 | WI | Primary |
Addresses
Primary practice location
1580 Commanche Ave
Green Bay, WI 54313-5751
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Other practice location 1
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Other practice location 2
744 S Webster Ave
Green Bay, WI 54301-3581
Phone (920) 433-3500
Other practice location 3
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
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 |
|---|---|---|---|
| 5413-33 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1144654120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 COMMANCHE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543135751",
"telephone_number": "920-435-8326",
"fax_number": "920-430-4659"
}
],
"practiceLocations": [
{
"address_1": "820 Arbutus Ave",
"address_purpose": "LOCATION",
"city": "Oconto",
"state": "WI",
"postal_code": "541532004",
"country_code": "US",
"telephone_number": "920-835-1100",
"fax_number": "920-835-1099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "744 S Webster Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013581",
"country_code": "US",
"telephone_number": "920-433-3500",
"fax_number": "920-445-7301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433834",
"country_code": "US",
"telephone_number": "715-735-5225",
"fax_number": "715-735-5388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "APNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "5413-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.