Active NPI
Karen L Stasiak, NNP
- Neonatal Nurse Practitioner
- Louisville, CO
National Provider Identifier
1760460216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 3637
- Practice address
- 100 Health Park Dr
Louisville, CO 80027-9583 - Phone
- (303) 673-1102
- NPI assigned
- Jan 5, 2006
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 3637 | CO | Primary |
Addresses
Primary practice location
100 Health Park Dr
Louisville, CO 80027-9583
Mailing address
100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 673-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10024549 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3637 | CO | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1760460216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HEALTH PARK DR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279583",
"telephone_number": "303-673-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HEALTH PARK DR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279583",
"telephone_number": "303-673-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASIAK",
"first_name": "KAREN",
"middle_name": "L",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "3637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024549",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.