Individual provider Active NPI

Stacey Krenning, RN

  • School Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1770096083
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN210555 Issued in AZ
Practice address
6935 E Gold Dust Ave
Scottsdale, AZ 85253-1447
Phone
(630) 244-9678
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN210555 AZ Primary

Addresses

Primary practice location

6935 E Gold Dust Ave
Scottsdale, AZ 85253-1447

Mailing address

6565 E Thomas Rd Unit O1106
Scottsdale, AZ 85251-6175
Phone (630) 244-9678

Other names 1

  • Stacey Sandusky Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN210555AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1770096083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E THOMAS RD UNIT O1106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516175",
            "telephone_number": "630-244-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 E GOLD DUST AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531447",
            "telephone_number": "630-244-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENNING",
        "first_name": "STACEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN210555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "SANDUSKY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.