Active NPI
Rochelle Lynn Stoler
- Community Health Worker
- Ann Arbor, MI
National Provider Identifier
1417426420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Community Health Worker
- Ann Arbor, MI
- NPI 1477022481
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.