Individual provider Active NPI

Kathryn Stadler

  • Licensed Practical Nurse
  • Spokane Valley, WA
National Provider Identifier
1851129332
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP61498933 Issued in WA
Practice address
1225 N Argonne Rd Ste 100
Spokane Valley, WA 99212-2798
Phone
(509) 581-7559
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X LP61498933 WA Primary

Addresses

Primary practice location

1225 N Argonne Rd Ste 100
Spokane Valley, WA 99212-2798

Mailing address

24394 E Harrier LN
Liberty Lake, WA 99019-5313
Phone (509) 581-7559

Other practice location 1

24394 E Harrier Ln
Liberty Lake, WA 99019-5313
Phone (509) 581-7559

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
LP61498933WAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1851129332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24394 E HARRIER LN",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195313",
            "telephone_number": "509-581-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N ARGONNE RD STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122798",
            "telephone_number": "509-581-7559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24394 E Harrier Ln",
            "address_purpose": "LOCATION",
            "city": "Liberty Lake",
            "state": "WA",
            "postal_code": "990195313",
            "country_code": "US",
            "telephone_number": "509-581-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADLER",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61498933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.