Staci Vistuba, RN, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

1378159121 Issued in KS

Practice address

14929 S Gallery St
Olathe, KS 66062-3338

Phone

(816) 509-4083

Fax

(913) 829-4547

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

Yes

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1902068455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14929 S GALLERY ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623338",
            "telephone_number": "816-509-4083",
            "fax_number": "913-829-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14929 S GALLERY ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623338",
            "telephone_number": "816-509-4083",
            "fax_number": "913-829-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTUBA",
        "first_name": "STACI",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KS",
            "license": "1378159121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Olathe, KS
• Providers in Olathe, KS by specialty
• Case Management Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.