Individual provider Active NPI

Rochelle Lynn Stoler

  • Community Health Worker
  • Ann Arbor, MI
National Provider Identifier
1417426420
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
929 E Summerfield Glen Cir
Ann Arbor, MI 48103-9162
Phone
(734) 645-3877
Fax
(734) 369-2419
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

929 E Summerfield Glen Cir
Ann Arbor, MI 48103-9162

Mailing address

3893 S Michael Rd
Ann Arbor, MI 48103-9345
Phone (734) 665-7303

Other practice location 1

1019 E Summerfield Glen Cir
Ann Arbor, MI 48103-9163
Phone (734) 646-1047

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

Practice roles

OrganizationSpecialtyStatusNew patients
Full Life Independence, LLC Community Health Worker Current Accepting new patients

Organizations & group practices 1

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1417426420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 S MICHAEL RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039345",
            "telephone_number": "734-665-7303",
            "fax_number": "734-369-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 E SUMMERFIELD GLEN CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039162",
            "telephone_number": "734-645-3877",
            "fax_number": "734-369-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 E Summerfield Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481039163",
            "country_code": "US",
            "telephone_number": "734-646-1047",
            "fax_number": "734-369-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLER",
        "first_name": "ROCHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.