Individual provider Active NPI

Stacie Lee Sugioka, RN

  • Registered Nurse
  • Cedar Rapids, IA
National Provider Identifier
1841010717
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
138372 Issued in IA
Practice address
5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070
Phone
(319) 531-3824
Fax
(319) 531-3840
NPI assigned
Oct 15, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 138372 IA Primary

Addresses

Primary practice location

5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070

Mailing address

5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070
Phone (319) 531-3824

Other names 1

  • Stacie Lee Yenter Former name

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
138372IAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1841010717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070",
            "telephone_number": "319-531-3824",
            "fax_number": "319-531-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070",
            "telephone_number": "319-531-3824",
            "fax_number": "319-531-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIOKA",
        "first_name": "STACIE",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "138372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "YENTER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.