Kathryn M. Stam, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

148857 Issued in WI

Practice address

2605 S Oneida St Ste 107
Green Bay, WI 54304-5331

Phone

(920) 432-0031

Fax

(920) 432-2260

NPI assigned

Sep 11, 2009

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

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407189285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S ONEIDA ST STE 107",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045331",
            "telephone_number": "920-432-0031",
            "fax_number": "920-432-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S ONEIDA ST STE 107",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045331",
            "telephone_number": "920-432-0031",
            "fax_number": "920-432-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Nicolet Rd",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549148273",
            "country_code": "US",
            "telephone_number": "920-886-2299",
            "fax_number": "920-886-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAM",
        "first_name": "KATHRYN",
        "middle_name": "M.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "148857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "61363",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace K Stabenau, RD, CD
• Diane Mary Stadler, PTA
• Keith L Staehly, DDS
• David A Stahlke, MS, LAT, CSCS
• Antonette K Stahnke, PA-C
• Elizabeth Stamatakos, MS
• Benjamin Stampfl, MD
• David A Stampfl, MD
• Susan Marie Stanaszak, R.N., B.S.N., R.C.S.
• Andrew Ryan Standiford, D-PT

• All providers in Green Bay, WI
• Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.