Individual provider Active NPI

Katie Stasiowski

  • Registered Nurse
  • Wheat Ridge, CO
National Provider Identifier
1497204499
Registry record updated Oct 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1620359 Issued in CO
Practice address
3795 Depew St Unit a
Wheat Ridge, CO 80212-7191
Phone
(303) 229-6449
NPI assigned
Oct 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1620359 CO Primary

Addresses

Primary practice location

3795 Depew St Unit a
Wheat Ridge, CO 80212-7191

Mailing address

3795 Depew St Unit a
Wheat Ridge, CO 80212-7191
Phone (303) 229-6449

Other names 1

  • Katie Creel Former name

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
1620359COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1497204499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 DEPEW ST UNIT A",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802127191",
            "telephone_number": "303-229-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 DEPEW ST UNIT A",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802127191",
            "telephone_number": "303-229-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIOWSKI",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1620359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "CREEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; 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.