Individual provider Active NPI

Julie Ann Stalling, LPN

  • Licensed Practical Nurse
  • Crooksville, OH
National Provider Identifier
1386672178
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN097381 Issued in OH
Practice address
2094 Township Road 197 NE
Crooksville, OH 43731-9526
Phone
(740) 342-4290
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN097381 OH Primary

Addresses

Primary practice location

2094 Township Road 197 NE
Crooksville, OH 43731-9526

Mailing address

2094 Township Road 197 NE
Crooksville, OH 43731-9526
Phone (740) 342-4290

Other identifiers 1

IdentifierTypeStateIssuer
2228048MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
PN097381OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Guernsey Health Choices, Inc. Past Accepting new patients
Guernsey Health Choices, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386672178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 TOWNSHIP ROAD 197 NE",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437319526",
            "telephone_number": "740-342-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 TOWNSHIP ROAD 197 NE",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437319526",
            "telephone_number": "740-342-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLING",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN097381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228048",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crooksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.