Amy Irene Stafford, RN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

CNS204003 Issued in ME

Practice address

22 Bramhall St BLDG Room1147
Portland, ME 04102-3175

Phone

(207) 662-6773

NPI assigned

Jun 9, 2022

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1013646512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MUNJOY ST APT 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012096",
            "telephone_number": "206-579-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST BLDG ROOM1147",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023175",
            "telephone_number": "207-662-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "AMY",
        "middle_name": "IRENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "ME",
            "license": "CNS204003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie St.Pierre, LCPC
• Audrey Stack, DDS
• Christine Stella Stack, LMT
• Loreene A Stacy, RDH
• Christopher Stadler, M.D.
• Bridget Caren Stahlecker
• Kristen Stake, LCPC
• Christine M Stam, APRN-PNP
• Andrea Holloway Stamey, M.A. CCC-SLP
• Jennie H Stancu, LMT

• Clinical Nurse Specialist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Nurse Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.