Judith Dolene Stensland, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200250162NP Issued in OR

Practice address

1445 Gateway Blvd
Cottage Grove, OR 97424-1224

Phone

(541) 942-7000

Fax

(541) 942-5550

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Covered Bridge Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Cottage Grove, OR
  • NPI 1609068998
  NPD (past)
• Icco LLC

  • Clinic/Center
  • Cottage Grove, OR
  • NPI 1750492906
  NPD (past)
• Williamston Clinic Corp

  • Family Medicine Physician
  • Williamston, NC
  • NPI 1811990443
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1225001720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 GATEWAY BLVD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241224",
            "telephone_number": "541-942-7000",
            "fax_number": "541-942-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 GATEWAY BLVD",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241224",
            "telephone_number": "541-942-7000",
            "fax_number": "541-942-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSLAND",
        "first_name": "JUDITH",
        "middle_name": "DOLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "200250162NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168395",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "R103163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Lane Mental Health Services, Inc
• South Lane Physical Therapy LLC
• South Lane Wheels, Inc.
• Dana Marie Sparks
• Jennifer Leigh Sperry
• Kimberly Rae Stober, FNP
• Danielle Stormes, DOULA
• Brenna Stuart
• Cassandra Stuckey
• Deborah Sumner, QMHA

• Family Medicine Physician in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.