Active NPI
Kerry Rodgerick Stringfellow, RN
- Registered Nurse
- Glendale, CA
National Provider Identifier
1164712709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 401486
- Practice address
- 3385 Vickers Dr
Glendale, CA 91208-1605 - Phone
- (818) 248-7086
- Fax
- (818) 441-5353
- NPI assigned
- Apr 16, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 401486 | CA | Primary |
Addresses
Primary practice location
3385 Vickers Dr
Glendale, CA 91208-1605
Mailing address
3385 Vickers Dr
Glendale, CA 91208-1605
Phone (818) 248-7086
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
| License | State | Type | Specialty |
|---|---|---|---|
| 401486 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302912000000",
"number": "1164712709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 VICKERS DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081605",
"telephone_number": "818-248-7086",
"fax_number": "818-441-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 VICKERS DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081605",
"telephone_number": "818-248-7086",
"fax_number": "818-441-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRINGFELLOW",
"first_name": "KERRY",
"middle_name": "RODGERICK",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-16",
"last_updated": "2011-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "401486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.