Individual provider Active NPI

Anne Ielmini Stokman, RN MSN CDE

  • Diabetes Educator Registered Nurse
  • Patterson, CA
National Provider Identifier
1740522853
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
332541 Issued in CA
Practice address
1467 Zacharias Rd
Patterson, CA 95363-9505
Phone
(209) 573-0798
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 332541 CA Primary

Addresses

Primary practice location

1467 Zacharias Rd
Patterson, CA 95363-9505

Mailing address

1467 Zacharias
Patterson, CA 95363
Phone (209) 573-0798

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
332541CAMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1740522853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 ZACHARIAS",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "95363",
            "telephone_number": "209-573-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 ZACHARIAS RD",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953639505",
            "telephone_number": "209-573-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKMAN",
        "first_name": "ANNE",
        "middle_name": "IELMINI",
        "credential": "RN MSN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "332541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.