Active NPI
Maureen Margaret Stull
- Homemaker
- Lebanon, OH
National Provider Identifier
1205050341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 320900000X
- Practice address
- 1560 S Nixon Camp Rd
Lebanon, OH 45036-9638 - Phone
- (513) 933-9179
- NPI assigned
- Apr 12, 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 320900000X | OH | Primary |
Addresses
Primary practice location
1560 S Nixon Camp Rd
Lebanon, OH 45036-9638
Mailing address
1560 S Nixon Camp Rd
Lebanon, OH 45036-9638
Phone (513) 933-9179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0891978 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320900000X | OH | MD | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1205050341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 S NIXON CAMP RD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369638",
"telephone_number": "513-933-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 S NIXON CAMP RD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369638",
"telephone_number": "513-933-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULL",
"first_name": "MAUREEN",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "320900000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0891978",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.