Takara Monique Staten

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA0061032783 Issued in TX

Practice address

7800 San Felipe Blvd Apt 504
Austin, TX 78729-7694

Phone

(701) 495-3540

NPI assigned

Jan 26, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1043926710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SAN FELIPE BLVD APT 504",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297694",
            "telephone_number": "701-495-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SAN FELIPE BLVD APT 504",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297694",
            "telephone_number": "701-495-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEN",
        "first_name": "TAKARA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0061032783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376K00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Stassen, M.D.
• Stassney Austin Dental PLLC
• Stassney Smiles, P.C.
• David C Stat, M.D.
• State of Texas, Dept. of Aging & Disability, Hcssa
• States Become Traits
• Stateserv Medical of Texas
• Judith Ann Stathos, RMT
• Kimberly Bridzeke Staton, APRN
• Jennifer C Staudenmyer, PT

• Nurse's Aide in Austin, TX
• Providers in Austin, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.