Active NPI
Stacie Radosta
- School Registered Nurse
- Harhan, LA
National Provider Identifier
1285392274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 163WS0200X
- Practice address
- Jefferson Parish School
822 S. Clearview Parkway
Harhan, LA 70123 - Phone
- (504) 457-5129
- NPI assigned
- Dec 7, 2021
- Last updated
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 163WS0200X | LA | Primary |
Addresses
Primary practice location
Jefferson Parish School
822 S. Clearview Parkway
Harhan, LA 70123
Mailing address
822 S Clearview Pkwy
Harahan, LA 70123-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701033 | Medicaid | LA |
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 |
|---|---|---|---|
| 163WS0200X | LA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1285392274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 S CLEARVIEW PKWY",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701233401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JEFFERSON PARISH SCHOOL",
"address_2": "822 S. CLEARVIEW PARKWAY",
"city": "HARHAN",
"state": "LA",
"postal_code": "70123",
"telephone_number": "504-457-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADOSTA",
"first_name": "STACIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "LA",
"license": "163WS0200X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701033",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.