STEPHANIE STACKHOUSE M.D. – NPI #1649723420
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

STEPHANIE STACKHOUSE is a physician located in MINNETONKA, MN. NPPES has assigned the NPI number 1649723420 to STEPHANIE STACKHOUSE on July 28, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHANIE STACKHOUSE below.

NPI Profile for
STEPHANIE STACKHOUSE

NPI Number
1649723420
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STEPHANIE STACKHOUSE
Credentials
M.D.
Primary location
5520 BRISTOL LANE
MINNETONKA, MN 55343
Phone: (952) 938-0680 Fax:
Mailing address
5520 BRISTOL LN
MINNETONKA, MN 55343-4306
Phone: (952) 938-0680 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
MN 29886

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.