Individual provider Active NPI

Linda Ann Stone, PHD RNC APNP

  • Nurse Practitioner
  • Brookfield, WI
National Provider Identifier
1184774242
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1458 033 Issued in WI
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

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43898400MedicaidWI

Other names 1

  • Linda Fulkerson Stone Professional name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
2814WIMDProfessional Counselor
2814 - 057WIMDPsychologist
1458 033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.