Active NPI
Susan Kathryn Stolzenbach, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Yakima, WA
National Provider Identifier
1528326451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60259853
- Practice address
- 1460 N 16TH Ave
Ste G
Yakima, WA 98902-7102 - Phone
- (509) 575-7760
- Fax
- (509) 575-7796
- NPI assigned
- Apr 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60259853 | WA | Primary |
Addresses
Primary practice location
1460 N 16TH Ave
Ste G
Yakima, WA 98902-7102
Mailing address
1460 N 16TH Ave
Ste G
Yakima, WA 98902-7102
Phone (509) 575-7760
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 |
|---|---|---|---|
| AP60259853 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1528326451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 N 16TH AVE",
"address_2": "STE G",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027102",
"telephone_number": "509-575-7760",
"fax_number": "509-575-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 N 16TH AVE",
"address_2": "STE G",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027102",
"telephone_number": "509-575-7760",
"fax_number": "509-575-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLZENBACH",
"first_name": "SUSAN",
"middle_name": "KATHRYN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-28",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60259853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.