Kiersten Marie Stoddard

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

343787 Issued in NY

Practice address

159 Prince Rd
Rocky Point, NY 11778-9702

Phone

(631) 229-4161

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1477337327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 PRINCE RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789702",
            "telephone_number": "631-229-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 PRINCE RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789702",
            "telephone_number": "631-229-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "KIERSTEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "343787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Stawski, RN
• David Stern, PT
• Kelise Stewart
• Felicia Stiene
• Helene Stlouis
• George Edward Stone, CASAC
• Cynthia Storetveit, NP
• Tracy Subject, M.A. CCC/SLP TSHH
• Kara Lee Symington, RN
• Tap Into Potential, Corp.

• Licensed Practical Nurse in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.