Stephani Oldenburg, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

242748 Issued in SC

Practice address

221 W College Ave FL 2
Appleton, WI 54911-5826

Phone

(866) 288-8001

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1831787050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB DORADO DEL MAR",
            "address_2": "61 VILLA ESTE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "715-889-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLLEGE AVE FL 2",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115826",
            "telephone_number": "866-288-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDENBURG",
        "first_name": "STEPHANI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "242748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Oconnell
• John M Oestreicher, PHD
• Susan M. Oestreicher, PH.D.
• Matt Oetken, DO
• Stella Ofori-Sampong, M.D.
• Jennifer Helene Olkowski, LPC, CADC III
• Rebecca M. Ollmann, MA LMFT
• Kristine A Olofson, RN
• David Leonard Olsen, D.D.S., M.S.
• Adam Robert Olson, M.D.

• Registered Nurse in Appleton, WI
• Providers in Appleton, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.