Active NPI
Alma Lisa Stodolak, RN
- Community Health Registered Nurse
- West Branch, MI
National Provider Identifier
1356997167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 4704342148
- Practice address
- 511 Griffin Rd
West Branch, MI 48661-9251 - Phone
- (989) 345-5571
- NPI assigned
- Aug 16, 2019
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 4704342148 | MI | Primary |
Addresses
Primary practice location
511 Griffin Rd
West Branch, MI 48661-9251
Mailing address
511 Griffin Rd
West Branch, MI 48661-9251
Phone (989) 345-5571
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704342148 | MI | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1356997167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 GRIFFIN RD",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619251",
"telephone_number": "989-345-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 GRIFFIN RD",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619251",
"telephone_number": "989-345-5571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODOLAK",
"first_name": "ALMA",
"middle_name": "LISA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MI",
"license": "4704342148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.