Patricia Ann Stark, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

16242-031 Issued in WI

Practice address

3995 S 92ND St
Greenfield, WI 53228-2100

Phone

(414) 918-2300

Fax

(414) 546-1850

NPI assigned

Sep 17, 2012

Last updated

Sep 17, 2012By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1376893438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282100",
            "telephone_number": "414-918-2300",
            "fax_number": "414-546-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282100",
            "telephone_number": "414-918-2300",
            "fax_number": "414-546-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "16242-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Medicine & Orthopedic Center, S.C.
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• Stans Bootery Inc (Stans Fit For Your Feet)
• Rick Staral, PHARMD
• Sharon Louise Cello Starks, PTA
• James Edward Steffen, RPH
• Jeanne Marie Steffes, OTR
• Michele M Steger, LPN
• Jamie Lynn Steinke, COTA

• Licensed Practical Nurse in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.