Nancy Kittredge Stockdale, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 2008-0035 Issued in NM

Practice address

914 Pinehurst Rd SE
Ste 102
Rio Rancho, NM 87124-2219

Phone

(505) 896-9412

Fax

(505) 896-9461

NPI assigned

Aug 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• NM Pain Care Specialist, LLC

  • Interventional Pain Medicine Physician
  • Rio Rancho, NM
  • NPI 1689957060
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1639335102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 PINEHURST RD SE",
            "address_2": "STE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242219",
            "telephone_number": "505-896-9412",
            "fax_number": "505-896-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PINEHURST RD SE",
            "address_2": "STE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242219",
            "telephone_number": "505-896-9412",
            "fax_number": "505-896-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKDALE",
        "first_name": "NANCY",
        "middle_name": "KITTREDGE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA 2008-0035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Stewart
• Thomas Stewart
• Stillpoint Integrative Healing, LLC
• Hannah Stith Nottke
• Aurora D Stockdale
• Marilyn Stockman, CNP
• Ramona Stockton
• Grant Fielding Stoddard, D.C.
• Marlene Sagmit Stokes, APRN-CNP
• Jammie Stone-Stevens, MA, LAMFT(TEMPORARY)

• Physician Assistant in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.