Active NPI
Crystal Cerise Stearns, RNC, IBCLC,RLC
- Specialist
- Ardmore, OK
National Provider Identifier
1205018108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1011 14TH Ave NW
Ardmore, OK 73401-1828 - Phone
- (580) 220-6432
- Fax
- (580) 220-6884
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1011 14TH Ave NW
Ardmore, OK 73401-1828
Mailing address
PO Box 321
Lone Grove, OK 73443-0321
Phone (580) 657-4148
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1205018108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 321",
"city": "LONE GROVE",
"state": "OK",
"postal_code": "734430321",
"telephone_number": "580-657-4148",
"fax_number": "580-220-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 14TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011828",
"telephone_number": "580-220-6432",
"fax_number": "580-220-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEARNS",
"first_name": "CRYSTAL",
"middle_name": "CERISE",
"credential": "RNC, IBCLC,RLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.