Katherine Andries Stodola, APNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4693-33 Issued in WI

Practice address

2425 New Pinery Rd
Suite 201
Portage, WI 53901-1300

Phone

(608) 742-8900

Fax

(866) 561-2682

NPI assigned

Nov 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Andries Howell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1649557489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 INTERNATIONAL LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043135",
            "telephone_number": "608-240-0020",
            "fax_number": "608-246-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 NEW PINERY RD",
            "address_2": "SUITE 201",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011300",
            "telephone_number": "608-742-8900",
            "fax_number": "866-561-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODOLA",
        "first_name": "KATHERINE",
        "middle_name": "ANDRIES",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "148406-30",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "4693-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HOWELL",
            "middle_name": "ANDRIES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darcy L Steinhorst, PA-C
• Honey Sternberg, LPC
• Stewart F Taylor Jr MD
• Kimberly Stewart, MS
• Aimee Stieve, MPT
• Elizabeth R Strabel, MD
• Mary Rose Strickland, PT, DPT
• Brie K Strook, FNP, APNP
• Brian T. Stubitsch, MD
• Leonas Pranas Sulas, MD

• Gerontology Nurse Practitioner in Portage, WI
• Providers in Portage, WI by specialty
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.