Active NPI
Andru Stableski
- Driver
- Saint Michael, MN
National Provider Identifier
1699154534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 903 Ridge Dr SE
Saint Michael, MN 55376-1076 - Phone
- (763) 464-5544
- Fax
- (888) 510-1203
- NPI assigned
- May 26, 2015
- Last updated
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | ||
| Driver | 172A00000X | NU | Primary |
Addresses
Primary practice location
903 Ridge Dr SE
Saint Michael, MN 55376-1076
Mailing address
903 Ridge Dr SE
Saint Michael, MN 55376-1076
Phone (763) 464-5544
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Cab LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1699154534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 RIDGE DR SE",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553761076",
"telephone_number": "763-464-5544",
"fax_number": "888-510-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 RIDGE DR SE",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553761076",
"telephone_number": "763-464-5544",
"fax_number": "888-510-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABLESKI",
"first_name": "ANDRU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Michael, MN
- Kaluah Marie Smith
- Kayla Dellis Jonason Snee, PHARMD
- Solutions Counseling Services, PLLC
- St Michael Spinal Rehab Center Inc
- St. Michael Spinal Rehab Center, Inc
- Lynne M Stafford, PSYD, LP
- Katie J Stangl
- Lavecia Marie Starks
- Lynn Marie Stenvick
- Sturdycare Health Services LLC (SturdyCare Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.