Individual provider Active NPI

Avis L Stein, RN

  • School Registered Nurse
  • Los Alamos, NM
National Provider Identifier
1801228903
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
TL-02314 Issued in NM
Practice address
3511 Ridgeway Dr
Los Alamos, NM 87544-2141
Phone
(509) 768-3826
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 201242809RN OR
School Registered Nurse 163WS0200X TL-02314 NM Primary
Inpatient Obstetric Registered Nurse 163WX0003X RN00122648 WA
Inpatient Obstetric Registered Nurse 163WX0003X N-26310 ID

Addresses

Primary practice location

3511 Ridgeway Dr
Los Alamos, NM 87544-2141

Mailing address

3511 Ridgeway Dr
Los Alamos, NM 87544-2141
Phone (509) 768-3826

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
201242809RNORMDMedical-Surgical Registered Nurse
TL-02314NMMDSchool Registered Nurse
N-26310IDMDInpatient Obstetric Registered Nurse
RN00122648WAMDInpatient Obstetric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1801228903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 RIDGEWAY DR",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442141",
            "telephone_number": "509-768-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 RIDGEWAY DR",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442141",
            "telephone_number": "509-768-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "AVIS",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OR",
            "license": "201242809RN",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "TL-02314",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "WA",
            "license": "RN00122648",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "ID",
            "license": "N-26310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.