Stevie Mulford

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

217 Rex Ave
Jackson, CA 95642-2020

Phone

(209) 257-9993

NPI assigned

Jan 9, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Amador County Office of Education

  • Local Education Agency (LEA)
  • Jackson, CA
  • NPI 1104620988
  NPD

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1043020282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 REX AVE",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 REX AVE",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422020",
            "telephone_number": "209-257-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULFORD",
        "first_name": "STEVIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Montalbo, DMD
• Maureen Patricia Mooney-Michels, R.D., C.D.E.
• Karen S Morgan-Nicodemus, D.C.
• Diane Renee Morgan
• Mother Lode Diagnostic Imaging Inc
• William D Murrell, MD
• Carole Patricia Myers, PHN
• Nexus Youth & Family Services
• Van Giang Nguyen
• Jamie Niday, LVN

• Community Health Worker in Jackson, CA
• Providers in Jackson, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.