Individual provider Active NPI

Christy Waynette Stoltzenburg

  • Licensed Vocational Nurse
  • Temple, TX
National Provider Identifier
1801435540
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
351098 Issued in TX
Practice address
2305 Birdcreek Ter
Temple, TX 76502-1047
Phone
(254) 771-0852
NPI assigned
Dec 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 351098 TX Primary

Addresses

Primary practice location

2305 Birdcreek Ter
Temple, TX 76502-1047

Mailing address

2305 Birdcreek Ter
Temple, TX 76502-1047
Phone (254) 771-0852

Other names 1

  • Christy Waynette Cash Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cstoltzenburg@thrivespc.com

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

LicenseStateTypeSpecialty
351098TXMDLicensed Vocational Nurse

Interoperability endpoints

  • Direct secure messaging: cstoltzenburg@thrivespc.com

NPI Registry JSON

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1801435540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 BIRDCREEK TER",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021047",
            "telephone_number": "254-771-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 BIRDCREEK TER",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021047",
            "telephone_number": "254-771-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZENBURG",
        "first_name": "CHRISTY",
        "middle_name": "WAYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "351098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cstoltzenburg@thrivespc.com",
            "affiliation": "N",
            "address_1": "1509 West Ln",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765491446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "CASH",
            "middle_name": "WAYNETTE",
            "credential": "LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.