Stacie Kaye Wheeler

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102230 Issued in MN

Practice address

3815 W Broadway Ave
Robbinsdale, MN 55422-2207

Phone

(612) 332-4262

NPI assigned

Jun 3, 2013

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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ladd Memorial Hospital

  dba Osceola Medical Center

  • Critical Access Hospital
  • Osceola, WI
  • NPI 1467560227
  Medicare reassignment NPD
• Ladd Memorial Hospital

  dba Osceola Medical Center Osceola Clinic

  • Rural Health Clinic/Center
  • Osceola, WI
  • NPI 1801394549
  NPD

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1679910434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 401ST ST",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550563312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 W BROADWAY AVE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222207",
            "telephone_number": "612-332-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "STACIE",
        "middle_name": "KAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott M Westermann, ATC
• Kristine E Westgard, PA-C
• Jeffrey Allen Westman, D.D.S.
• Michael Howard Wetzel, MD
• Jeremy Whalen, PHARMD
• Bradford Kenneth Whirley, PHARMD
• Cassie Lynn Yager Whitaker, PA
• Rosa Virginia White, M.D.
• Kathleen Yvonne Whitley, M.D.
• David P Wicklund, MD

• Occupational Therapist in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.