Active NPI
Mary J Stahl, RN-NP
- Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1437189032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0270510
- Practice address
- 360 Sherman Street
Suite 400
Saint Paul, MN 55103-1844 - Phone
- (652) 225-1102
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0270510 | MN | Primary |
Addresses
Primary practice location
360 Sherman Street
Suite 400
Saint Paul, MN 55103-1844
Mailing address
360 Sherman Street
Suite 400
Saint Paul, MN 55103-1844
Phone (652) 225-1102
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0270510 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1437189032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SHERMAN STREET",
"address_2": "SUITE 400",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031844",
"telephone_number": "652-225-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SHERMAN STREET",
"address_2": "SUITE 400",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031844",
"telephone_number": "652-225-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHL",
"first_name": "MARY",
"middle_name": "J",
"credential": "RN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "0270510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.