Active NPI
Stacy Ann Lindahl, RN, BSN, NP-C
- Primary Care Nurse Practitioner
- Jackson, MI
National Provider Identifier
1538524665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704243397
- Practice address
- 900 Cooper St
Jackson, MI 49202-3398 - Phone
- (800) 397-1600
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704243397 | MI | Primary |
Addresses
Primary practice location
900 Cooper St
Jackson, MI 49202-3398
Mailing address
900 Cooper St
Jackson, MI 49202-3398
Phone (800) 379-1600
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
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704243397 | MI | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453593600000",
"number": "1538524665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 COOPER ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023398",
"telephone_number": "800-379-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COOPER ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023398",
"telephone_number": "800-397-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDAHL",
"first_name": "STACY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN, BSN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2016-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704243397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.