Individual provider Active NPI

Stephanie Parker Ahlstrand, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1487946869
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18987 Issued in CA
Practice address
2125 Santa Fe Ave
Long Beach, CA 90810-3547
Phone
(562) 432-9575
Fax
(562) 432-9590
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18987 CA Primary

Addresses

Primary practice location

2125 Santa Fe Ave
Long Beach, CA 90810-3547

Mailing address

2125 Santa Fe Ave
Long Beach, CA 90810-3547
Phone (562) 432-9575

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

State licenses

LicenseStateTypeSpecialty
18987CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1487946869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103547",
            "telephone_number": "562-432-9575",
            "fax_number": "562-432-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103547",
            "telephone_number": "562-432-9575",
            "fax_number": "562-432-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLSTRAND",
        "first_name": "STEPHANIE",
        "middle_name": "PARKER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.