Active NPI
Stacy Rae Mahaffey, CST
- Other Technician
- Glenwood Springs, CO
National Provider Identifier
1033441837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1830 Blake Avenue
Suite 207
Glenwood Springs, CO 81601 - Phone
- (970) 945-1144
- Fax
- (970) 945-9138
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1830 Blake Avenue
Suite 207
Glenwood Springs, CO 81601
Mailing address
1830 Blake Avenue
Suite 207 Rocky Mountain Plastic Surgery
Glenwood Springs, CO 81601
Phone (970) 945-1144
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1033441837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 BLAKE AVENUE",
"address_2": "SUITE 207 ROCKY MOUNTAIN PLASTIC SURGERY",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "81601",
"telephone_number": "970-945-1144",
"fax_number": "970-945-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 BLAKE AVENUE",
"address_2": "SUITE 207",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "81601",
"telephone_number": "970-945-1144",
"fax_number": "970-945-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAFFEY",
"first_name": "STACY",
"middle_name": "RAE",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.