Individual provider Active NPI

Mary C. Stoner, PNP

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1356557219
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
229031 Issued in TX
Practice address
6811 Austin Center Blvd
Specially for Children
Austin, TX 78731-3146
Phone
(512) 628-1850
Fax
(512) 628-1851
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 229031 TX Primary
Pediatric Clinical Nurse Specialist 364SP0200X 229031 TX

Addresses

Primary practice location

6811 Austin Center Blvd
Specially for Children
Austin, TX 78731-3146

Mailing address

6811 Austin Center Blvd
Specially for Children
Austin, TX 78731-3146
Phone (512) 628-1850

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)
Enrolled
Credentials
Certified Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1356557219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD",
            "address_2": "SPECIALLY FOR CHILDREN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313146",
            "telephone_number": "512-628-1850",
            "fax_number": "512-628-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD",
            "address_2": "SPECIALLY FOR CHILDREN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313146",
            "telephone_number": "512-628-1850",
            "fax_number": "512-628-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "MARY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "229031",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "229031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.