Connie Kay Stier

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

2370363 Issued in MN

Practice address

410 Park LN SE
Preston, MN 55965-2804

Phone

(507) 765-9986

Fax

(507) 765-9987

NPI assigned

Sep 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1902632490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PARK LN SE",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559652804",
            "telephone_number": "507-765-9986",
            "fax_number": "507-765-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PARK LN SE",
            "city": "PRESTON",
            "state": "MN",
            "postal_code": "559652804",
            "telephone_number": "507-765-9986",
            "fax_number": "507-765-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIER",
        "first_name": "CONNIE",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MN",
            "license": "R104073-9",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MN",
            "license": "2370363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Preston, MN
• Gerontology Registered Nurse in Minnesota

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