Active NPI
Annette Jolene Staael
- Ambulatory Care Registered Nurse
- Bismarck, ND
National Provider Identifier
1750127759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- R29311
- Practice address
- 2700 State St Ste 5
Bismarck, ND 58503-0669 - Phone
- (701) 221-9152
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | R29311 | ND | Primary |
Addresses
Primary practice location
2700 State St Ste 5
Bismarck, ND 58503-0669
Mailing address
8811 Sibley Dr
Bismarck, ND 58504-2902
Phone (701) 400-7277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R29311 | ND | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1750127759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 SIBLEY DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585042902",
"telephone_number": "701-400-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 STATE ST STE 5",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030669",
"telephone_number": "701-221-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAAEL",
"first_name": "ANNETTE",
"middle_name": "JOLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "ND",
"license": "R29311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.