Stacy Blake Nunne, MA, LAMFT, RN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2803 Issued in MN

Practice address

600 W 78TH St Ste 10B
Chanhassen, MN 55317-9585

Phone

(952) 215-5208

Fax

(888) 974-6441

NPI assigned

Feb 13, 2015

Last updated

Feb 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1295126068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170892",
            "telephone_number": "952-215-5208",
            "fax_number": "888-974-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 78TH ST STE 10B",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179585",
            "telephone_number": "952-215-5208",
            "fax_number": "888-974-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNE",
        "first_name": "STACY",
        "middle_name": "BLAKE",
        "credential": "MA, LAMFT, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2803",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-110685-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.