Staci Damiani

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704273650 Issued in MI

Practice address

1675 Kingsway CT
Trenton, MI 48183-1958

Phone

(734) 676-8530

Fax

(734) 676-2319

NPI assigned

Nov 30, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Trenton Total Health Care Center PC

  • Internal Medicine Physician
  • Trenton, MI
  • NPI 1932270584
  Medicare reassignment NPD

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1043753502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831958",
            "telephone_number": "734-676-8530",
            "fax_number": "734-676-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831958",
            "telephone_number": "734-676-8530",
            "fax_number": "734-676-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANI",
        "first_name": "STACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704273650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Crowley, LMT
• Kathi Cuschieri
• Rana Dabaja, MD
• Dana Dague
• Bryan Jay Daines, DO
• Daniel Murphy DDS
• Michael Dargay, D.O.
• David H Susewitz
• David H Susewitz
• David W Law DO PC

• Adult Health Nurse Practitioner in Trenton, MI
• Providers in Trenton, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.