Landis Brook Stokum, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RNP243406 Issued in AZ

Practice address

2730 S Val Vista Dr Ste 146
Gilbert, AZ 85295-1679

Phone

(480) 542-0202

NPI assigned

Jun 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Redemption Psychiatry, LLC

  • Child & Adolescent Psychiatry Physician
  • Gilbert, AZ
  • NPI 1053757278
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1376160978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E BACKMAN ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851404290",
            "telephone_number": "480-274-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR STE 146",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951679",
            "telephone_number": "480-542-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKUM",
        "first_name": "LANDIS",
        "middle_name": "BROOK",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP243406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collette Marie Stockton, OTRL
• Susan D Stoddard, PA-C
• Anna Elizabeth Stoehr, LPC, CPC
• Amy Stoetzel, PMHNP-BC
• Alexis Stokes
• Katelyn Ann Stone
• Vanessa Stone
• Stonegate Development, LLC
• Christine Stopa
• Stott Family & Cosmetic Dentistry PLLC

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.