Stacy L Kramer, APN-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95000016 Issued in CA

Practice address

5995 Plaza Dr
Cypress, CA 90630-5028

Phone

(602) 908-7273

Fax

(855) 251-9774

NPI assigned

Jul 14, 2008

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)

Enrolled

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.

• Delnor Community Hospital

  • General Acute Care Hospital
  • Geneva, IL
  • NPI 1407859655
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1326202847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 PLAZA DR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305028",
            "telephone_number": "602-908-7273",
            "fax_number": "855-251-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 PLAZA DR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305028",
            "telephone_number": "602-908-7273",
            "fax_number": "855-251-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209-005551",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95000016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Myrna Klein, MFT
• Hannah Klein, OTD, OTR/L
• Becky Grace Koehnlein
• Laura Kathleen Koppang, PH.D.
• Korean American Medical Group, Inc.
• Vennila Krishnan
• Gyntech Paul Kuk, PHARMD, MPH
• Diane M Kuramoto
• April Kuo-Ann Kwan, DDS
• Kayla Nishida Kwan

• Gerontology Nurse Practitioner in Cypress, CA
• Providers in Cypress, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.