Individual provider Active NPI

Laina Marlene Stupp, FNP

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1912245200
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337977-1 Issued in NY
Practice address
1 Rudolph Rd
Mary Walker Health Center Suny Oswego BLDG #10
Oswego, NY 13126
Phone
(315) 312-4100
Fax
(315) 312-5409
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F337977-1 NY Primary

Addresses

Primary practice location

1 Rudolph Rd
Mary Walker Health Center Suny Oswego BLDG #10
Oswego, NY 13126

Mailing address

1 Rudolph Rd
Mary Walker Health Center Suny Oswego BLDG #10
Oswego, NY 13126
Phone (315) 312-4100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F337977-1NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lstupp@hiemail.healtheconnections.org

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1912245200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RUDOLPH RD",
            "address_2": "MARY WALKER HEALTH CENTER SUNY OSWEGO BLDG #10",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-312-4100",
            "fax_number": "315-312-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RUDOLPH RD",
            "address_2": "MARY WALKER HEALTH CENTER SUNY OSWEGO BLDG #10",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-312-4100",
            "fax_number": "315-312-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPP",
        "first_name": "LAINA",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337977-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.