Renotta Gail Stainbrook, APRN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

083577-0 Issued in MN

Practice address

4801 Veterans Dr
Mail Routing: 112a
Saint Cloud, MN 56303-2015

Phone

(320) 255-6480

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912098864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 40TH ST S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019340",
            "telephone_number": "320-252-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 VETERANS DR",
            "address_2": "MAIL ROUTING: 112A",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032015",
            "telephone_number": "320-255-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINBROOK",
        "first_name": "RENOTTA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MN",
            "license": "083577-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Cloud Vamc
• Stadther Chiropractic, LTD. (Meridian Disc Institute)
• Krissie Adell Stafford, RDN, LD
• Samantha Stager, RN BSN PHN
• Andrew Johann Stahl, MD
• Holly Stalboerger
• Alix R Stalmakov, ARNP
• Richard L. Stambaugh, PHARMD, MS, BCPS
• Scott Eric Stamp, DDS
• Catherine Joy Standfuss, RN CNP

• Psychiatric/Mental Health Clinical Nurse Specialist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.