Individual provider Active NPI

Susan Ahlstrom Stonehocker, RN, BSN, MS, RD

  • Registered Nurse
  • Clearfield, UT
National Provider Identifier
1306380209
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
8750635-3102 Issued in UT
Practice address
22 S. State St
Clearfield, UT 84015
Phone
(801) 525-5000
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 8750635-3102 UT Primary

Addresses

Primary practice location

22 S. State St
Clearfield, UT 84015

Mailing address

PO Box 618
50 E State St
Farmington, UT 84025-0618
Phone (801) 525-5158

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
Credentials
Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
8750635-3102UTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1306380209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "address_2": "50 E STATE ST",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840250618",
            "telephone_number": "801-525-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S. STATE ST",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-525-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEHOCKER",
        "first_name": "SUSAN",
        "middle_name": "AHLSTROM",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8750635-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.