Kristen Ann Stock

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

338647-01 Issued in NY

Practice address

711 Rathburn Rd
Oswego, NY 13126-5634

Phone

(315) 529-5046

NPI assigned

Sep 17, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1275149171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 RATHBURN RD",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131265634",
            "telephone_number": "315-529-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RATHBURN RD",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131265634",
            "telephone_number": "315-529-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338647-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Michelle Stellmack, MSED
• Grace McAdam Stephens
• Micheal D Stephens, M.D.
• Makala Mae Stevens, PA-C
• William H Stilwell, FNP
• Cierra Stone
• Jo-an Stone
• Marjorie Storrs
• Jeffrey Witt Strain, MD, FACS
• Eric Stranak

• Licensed Practical Nurse in Oswego, NY
• Providers in Oswego, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.