Individual provider Active NPI

Christina Stickler

  • Case Manager/Care Coordinator
  • Gladwin, MI
National Provider Identifier
1780398289
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
655 E Cedar Ave
Gladwin, MI 48624-2215
Phone
(989) 426-9295
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

655 E Cedar Ave
Gladwin, MI 48624-2215

Mailing address

2790 Pointer Rd
West Branch, MI 48661-9196
Phone (989) 387-1534

Other practice location 1

2790 Pointer Rd
West Branch, MI 48661-9196
Phone (989) 387-1534

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

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1780398289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 POINTER RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619196",
            "telephone_number": "989-387-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242215",
            "telephone_number": "989-426-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Pointer Rd",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486619196",
            "country_code": "US",
            "telephone_number": "989-387-1534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.