Rachel Elaine Stockdale, PTA

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

2004016252 Issued in MO

Practice address

904 Edmond St
Saint Joseph, MO 64501-2702

Phone

(816) 233-7055

Fax

(816) 364-2460

NPI assigned

Jun 14, 2013

Last updated

Jun 14, 2013By the provider in NPPES

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

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1063850899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 EDMOND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 EDMOND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012702",
            "telephone_number": "816-233-7055",
            "fax_number": "816-364-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKDALE",
        "first_name": "RACHEL",
        "middle_name": "ELAINE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MO",
            "license": "2004016252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Stevens, WHNP
• Stevenson Family Pharmacy, Inc.
• Amanda M Stewart, PLPC
• Haylee Ann Stiens, PHARMD
• Jacquelin Stites
• Hannah Elaine Stone, LPN, BSN CANDIDATE
• Malinda Stone, APRN
• Melody Stone, MD
• Steven Clark Stoner, PHARM.D., BCPP
• Amber Dawn Storey

• Occupational Medicine Clinic/Center in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Occupational Medicine Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.