Kristie Lee Stenlund, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704219724 Issued in MI

Practice address

2530 1St Ave N
Escanaba, MI 49829-1390

Phone

(906) 789-3198

Fax

(906) 789-3679

NPI assigned

Jul 1, 2011

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1477840106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 1ST AVE N",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291390",
            "telephone_number": "906-789-3198",
            "fax_number": "906-789-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 1ST AVE N",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291390",
            "telephone_number": "906-789-3198",
            "fax_number": "906-789-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENLUND",
        "first_name": "KRISTIE",
        "middle_name": "LEE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704219724",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704219724",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "123429-30",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI PIN",
            "identifier": "0871741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah St. John
• Michael Paul St. John, LMSW
• St. Jude's Assisted Living
• Allison M Stafford, PA-C
• Anne M Stein, FNP
• Stephen M. Manier, MD, PC (Escanaba Radiology Associates)
• Steven H Flath DDS PC
• Stacey Lynn Stier, FNP-C
• Gary E. Tackman, O.D.
• Ann Tardiff

• Nurse Practitioner in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.