Individual provider Active NPI

Karen Sue Stabler, LPN

  • Licensed Practical Nurse
  • Freeville, NY
National Provider Identifier
1609072925
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
224225 Issued in NY
Practice address
888 W Dryden Rd
Freeville, NY 13068-5741
Phone
(607) 379-0074
NPI assigned
Jun 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 224225 NY Primary

Addresses

Primary practice location

888 W Dryden Rd
Freeville, NY 13068-5741

Mailing address

888 W Dryden Rd
Freeville, NY 13068-5741
Phone (607) 379-0074

Other identifiers 1

IdentifierTypeStateIssuer
01960301MedicaidNY

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
224225NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609072925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 W DRYDEN RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130685741",
            "telephone_number": "607-379-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W DRYDEN RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130685741",
            "telephone_number": "607-379-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABLER",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "224225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01960301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.