Active NPI
Linda Ann Stone, PHD RNC APNP
- Nurse Practitioner
- Brookfield, WI
National Provider Identifier
1184774242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1458 033
- Practice address
- 13965 W Burleigh Rd
Ste 103
Brookfield, WI 53005-3064 - Phone
- (262) 785-1404
- Fax
- (262) 785-1409
- NPI assigned
- Jan 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1458 033 | WI | Primary |
| Psychologist | 103T00000X | 2814 - 057 | WI |
Addresses
Primary practice location
13965 W Burleigh Rd
Ste 103
Brookfield, WI 53005-3064
Mailing address
2920 S Wentworth Ave
Milwaukee, WI 53207-2512
Phone (414) 744-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43898400 | Medicaid | WI |
Other names 1
- Linda Fulkerson Stone
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2011 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2814 | WI | MD | Professional Counselor |
| 2814 - 057 | WI | MD | Psychologist |
| 1458 033 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pause for Healing, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Neurorehabilitation Occupational Therapist
- Brookfield, WI
- NPI 1760660377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1184774242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 S WENTWORTH AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532072512",
"telephone_number": "414-744-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13965 W BURLEIGH RD",
"address_2": "STE 103",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053064",
"telephone_number": "262-785-1404",
"fax_number": "262-785-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "LINDA",
"middle_name": "ANN",
"credential": "PHD RNC APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "1458 033",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2814 - 057",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43898400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "STONE",
"middle_name": "FULKERSON",
"credential": "PHD RNC APNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.