Active NPI
Mendy Marie Stoeser, DNP, NP-C
- Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1629540893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0088436
- Practice address
- 755 Research Pkwy
Oklahoma City, OK 73104-3629 - Phone
- (800) 356-3477
- NPI assigned
- Dec 27, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0088436 | OK | Primary |
Addresses
Primary practice location
755 Research Pkwy
Oklahoma City, OK 73104-3629
Mailing address
2801 Parklawn Dr Ste 100
Midwest City, OK 73110-4224
Phone (405) 455-5330
Other names 1
- Ms. Mendy Marie Kuchta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0088436 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnylane Medical Clinic LLC | Current | Accepting new patients |
Locations
3916 S Sunnylane Rd
Oklahoma City, OK 73115
Phone (405) 677-3378
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.
-
- Family Medicine Physician
- Del City, OK
- NPI 1255922811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1629540893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 PARKLAWN DR STE 100",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104224",
"telephone_number": "405-455-5330",
"fax_number": "405-455-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 RESEARCH PKWY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731043629",
"telephone_number": "800-356-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOESER",
"first_name": "MENDY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "DNP, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0088436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MENDY",
"last_name": "KUCHTA",
"middle_name": "MARIE",
"prefix": "MS.",
"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 May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.