Michelle Stockman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

051330 Issued in MO

Practice address

1004 S. Lincoln Ave
Marshall, MO 65340

Phone

(573) 442-1690

Fax

(573) 442-1804

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Javis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1174922173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S LINCOLN AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402767",
            "telephone_number": "573-442-1690",
            "fax_number": "573-442-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S. LINCOLN AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "65340",
            "telephone_number": "573-442-1690",
            "fax_number": "573-442-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "051330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JAVIS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• State of Missouri
• State of Missouri
• Linda Catherine Steele-Green, MD
• Ashley Nicole Stewart, NP
• Cassidy Elizabeth Stewart
• Dennis R. Straub
• Summers Pharmacy of Marshall, LLC
• Summers Pharmacy of Marshall, LLC
• The Farris Corporation
• The Shade Tree LLC

• Licensed Practical Nurse in Marshall, MO
• Providers in Marshall, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.