Active NPI
Stephanie Jane Stuckert, BS
- Counselor
- Oklahoma City, OK
National Provider Identifier
1568660249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6100 S Walker Ave
Oklahoma City, OK 73139-7026 - Phone
- (405) 634-4400
- NPI assigned
- Jul 5, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6100 S Walker Ave
Oklahoma City, OK 73139-7026
Mailing address
198 E Almar Drive
Chickasha, OK 73018
Phone (405) 222-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4SJM71 | Other | OK | ICIS |
Other names 1
- Stephanie Mantooth
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1568660249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 E ALMAR DRIVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "73018",
"telephone_number": "405-222-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 S WALKER AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731397026",
"telephone_number": "405-634-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKERT",
"first_name": "STEPHANIE",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICIS",
"identifier": "4SJM71",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MANTOOTH",
"credential": "LADC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.