Individual provider Active NPI

Kathryn V. Stengel, RN, CS/ANP

  • Family Nurse Practitioner
  • Saint John, IN
National Provider Identifier
1164459590
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000285A Issued in IN
Practice address
11355 W 97TH LN
Saint John, IN 46373-9601
Phone
(219) 365-5577
Fax
(219) 836-7585
NPI assigned
Jun 28, 2006
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71000285A IN Primary
Registered Nurse 163W00000X 28050880A IN

Addresses

Primary practice location

11355 W 97TH LN
Saint John, IN 46373-9601

Mailing address

1040 Sierra Drive
Suite 400
Greenwood, IN 46143-7241
Phone (317) 865-8540

Other identifiers 1

IdentifierTypeStateIssuer
200304170MedicaidIN

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
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71000285AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Clinic LLC Current Accepting new patients

Locations

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

9800 Valparaiso Dr
Munster, IN 46321
Phone (219) 836-5800

11355 W 97th Ln
Saint John, IN 46373
Phone (219) 365-5577

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1164459590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DRIVE",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-865-8540",
            "fax_number": "317-865-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 W 97TH LN",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739601",
            "telephone_number": "219-365-5577",
            "fax_number": "219-836-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGEL",
        "first_name": "KATHRYN",
        "middle_name": "V.",
        "credential": "RN, CS/ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000285A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28050880A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.