Andrea Lynn Stalbaum, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

28287274A Issued in IN

Practice address

3800 St Mary Drive
Valparaiso, IN 46383

Phone

(219) 286-3707

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 2024By the provider in NPPES

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1871300046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 S 250 W",
            "city": "NORTH JUDSON",
            "state": "IN",
            "postal_code": "463668646",
            "telephone_number": "574-249-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ST MARY DRIVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-286-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALBAUM",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28287274A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Spruell
• Samantha Sriplo
• St Margaret Mercy Healthcare Centers, Inc. (South Ridge Medical)
• Joseph Stabler, OTA
• Kate Grace Stake
• Maria Louise Stamp, MD
• Stan Lelek P.C.
• Meghan Stanfel, RD, CDCES
• Whitney Stanfill, M.ED
• Lauren K. Stanford

• Emergency Registered Nurse in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Emergency Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.