Individual provider Active NPI

Linda D Stalters, MSN, APRN, BC, PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1821163940
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC00393 Issued in MD
Practice address
43490 Millwright Ter
Leesburg, VA 20176-8466
Phone
(571) 333-5386
Fax
(240) 465-0667
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC00393 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0015000819 VA

Addresses

Primary practice location

43490 Millwright Ter
Leesburg, VA 20176-8466

Mailing address

43490 Millwright Ter
Leesburg, VA 20176-8466
Phone (571) 333-5386

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
Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
AC00393MDMDPsychiatric/Mental Health Nurse Practitioner
0015000819VAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1821163940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43490 MILLWRIGHT TER",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768466",
            "telephone_number": "571-333-5386",
            "fax_number": "240-465-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43490 MILLWRIGHT TER",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768466",
            "telephone_number": "571-333-5386",
            "fax_number": "240-465-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALTERS",
        "first_name": "LINDA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, BC, PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC00393",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0015000819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.