Edwin Ernest Stumpf II, RN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

55288 Issued in HI

Practice address

480 Central Ave
Pearl Harbor, HI 96860-4908

Phone

(808) 474-0625

NPI assigned

Nov 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1184192494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MCCULLY ST APT 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263944",
            "telephone_number": "808-639-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-474-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMPF",
        "first_name": "EDWIN",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RN, CCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "55288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Katharyn Snyder, R.N.
• Craig Randolph Soleim, NAVY IDC
• Michael Spoelstra, D.D.S.
• Heather Lynn Stein, DMD, MS
• Taylor Anne Stubblefield, IDC
• Cherryl Nobuko Sugimoto, PHARM.D., M.B.A.
• Celia Green Sukon, PA
• Joshua Sullivan, DDS
• William A Talbott
• Benjamin Michael Taylor, MD

• Case Management Registered Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Case Management Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.