Active NPI
Lynda Jean Stuber, C.P.N.P.
- Pediatric Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1871560441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R177423-8
- Practice address
- 14001 Ridgedale Dr
Ste 100
Minnetonka, MN 55305-1781 - Phone
- (952) 473-0211
- Fax
- (952) 473-7908
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 290-033 | WI | |
| Pediatric Nurse Practitioner | 363LP0200X | R177423-8 | MN | Primary |
Addresses
Primary practice location
14001 Ridgedale Dr
Ste 100
Minnetonka, MN 55305-1781
Mailing address
140001 Ridgedale Dr
Ste 100
Minnetonka, MN 55305-1781
Phone (952) 473-0211
Other names 1
- Lynda Jean Kempken
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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R177423-8 | MN | MD | Pediatric Nurse Practitioner |
| 290-033 | WI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayzata Children'S Clinic P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Minnetonka, MN
- NPI 1023081577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1871560441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140001 RIDGEDALE DR",
"address_2": "STE 100",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051781",
"telephone_number": "952-473-0211",
"fax_number": "952-473-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR",
"address_2": "STE 100",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051781",
"telephone_number": "952-473-0211",
"fax_number": "952-473-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBER",
"first_name": "LYNDA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "290-033",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "R177423-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDA",
"last_name": "KEMPKEN",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.