Lynn Marie Stengel, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9254267 Issued in FL

Practice address

4161 Tamiami TRL
Suite 201
Port Charlotte, FL 33952-9204

Phone

(941) 764-0800

Fax

(941) 764-6494

NPI assigned

Apr 11, 2006

Last updated

Jul 25, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1386607034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGEL",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9254267",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02343575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sergio Stephens

• Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.