Individual provider Active NPI

Shai Lee Stadfelt

  • Hearing Instrument Specialist
  • Anoka, MN
National Provider Identifier
1538402425
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2578 Issued in MN
Practice address
8111 176TH LN NW
Anoka, MN 55303-5570
Phone
(763) 441-1278
Fax
(763) 205-2099
NPI assigned
Mar 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2578 MN Primary

Addresses

Primary practice location

8111 176TH LN NW
Anoka, MN 55303-5570

Mailing address

8111 176TH LN NW
Anoka, MN 55303-5570
Phone (763) 441-1278

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
2578MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
3Home Service Hearing Aid, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1538402425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 176TH LN NW",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553035570",
            "telephone_number": "763-441-1278",
            "fax_number": "763-205-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 176TH LN NW",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553035570",
            "telephone_number": "763-441-1278",
            "fax_number": "763-205-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADFELT",
        "first_name": "SHAI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.