JOETTA R STANGL (NPI# 1669772869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669772869 |
| Entity Type | Individual |
| Full Name | JOETTA R STANGL |
| Credential | RN |
| Practice Address |
1200 Sixth Ave N Centracare Clinic St Cloud MN 56303-2735 |
| Practice Telephone | 3202525131 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0300X |
Registered Nurse Specialization: Nephrology |
R189991-9 | MN | Nursing Service Providers |
| Street Address |
1200 SIXTH AVE N CENTRACARE CLINIC |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848122 | Bernard Rudolph Erickson | Internal Medicine | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2005-08-11 |
| 1255796918 | Tiffany Nicole Sande | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-12-23 |
| 1417327651 | Larae A. Lymer | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-09-30 |
| 1154799781 | Sarah Catherine Babst | Nurse Practitioner | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2015-09-14 |
| 1376933366 | Milissa Sue Mcduffee | Nurse Practitioner | 1200 Sixth Ave N, Centracare Clinic River Campus/heart & Vascular Center, St Cloud, MN 56303-2735 | 2015-01-28 |
| 1174911127 | Kristin Ann Gjerset | Nurse Practitioner | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2014-12-29 |
| 1306253323 | Karen Rae Gozel | Clinical Nurse Specialist | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2014-07-22 |
| 1093120131 | Courtney Lynn Brever | Physician Assistant | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2014-06-27 |
| 1104230879 | Alyssa Marie Monson | Dietitian, Registered | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2014-06-20 |
| 1780023846 | Patrick Wayne Odens | Internal Medicine | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2013-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 163WN0300X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Nephrology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381062 | Cynthia Barnett | Registered Nurse | 890 County Road 24, Wayzata, MN 55391-9618 | 2017-08-06 |
| 1366094302 | Laura Verley | Registered Nurse | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-07-10 |
| 1558779827 | Ashley Rose Reiter | Registered Nurse | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2014-07-30 |
| 1851703797 | Joyce Mary Dingmann | Registered Nurse | 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | 2014-05-27 |
Please comment or provide details below to improve the information on JOETTA R STANGL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.