Opal Stalker, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

49634 Issued in CO

Practice address

106 W North St
Cortez, CO 81321-3119

Phone

(970) 565-3056

Fax

(970) 565-0647

NPI assigned

Mar 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Montezuma County Health Department

  • Public Health or Welfare Agency
  • Cortez, CO
  • NPI 1114918000
  NPD (past)
• Montezuma County Health Department

  • Public Health or Welfare Agency
  • Cortez, CO
  • NPI 1518897602
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992835474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 ROAD 33.75",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "813288102",
            "telephone_number": "970-565-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W NORTH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213119",
            "telephone_number": "970-565-3056",
            "fax_number": "970-565-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALKER",
        "first_name": "OPAL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "49634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07496342",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Memorial Home Health
• Southwest Professional Properties, Inc
• Southwest Speech Therapy, LLC
• Speak Easy Speech Therapy LLC
• Balaji Srinivas, MD
• Leslie A Stanwix, DO
• Kimberly Renee Starnes-Parr, OD
• Robert Scott Steeves, CRNA
• Timothy Edmund Stefanko, RPH
• Ashley Stephens

• Community Health Registered Nurse in Cortez, CO
• Providers in Cortez, CO by specialty
• Community Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.