Active NPI
Jessica Stamman, RN
- Registered Nurse
- Baraboo, WI
National Provider Identifier
1821493008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 219473
- Practice address
- 1520 W Pine St
Apt 212
Baraboo, WI 53913-9547 - Phone
- (309) 536-0407
- NPI assigned
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 219473 | WI | Primary |
Addresses
Primary practice location
1520 W Pine St
Apt 212
Baraboo, WI 53913-9547
Mailing address
1520 W Pine St
Apt 212
Baraboo, WI 53913-9547
Phone (309) 536-0407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 219473 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1821493008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W PINE ST",
"address_2": "APT 212",
"city": "BARABOO",
"state": "WI",
"postal_code": "539139547",
"telephone_number": "309-536-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W PINE ST",
"address_2": "APT 212",
"city": "BARABOO",
"state": "WI",
"postal_code": "539139547",
"telephone_number": "309-536-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMMAN",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "219473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.