Katey Ann Stafford, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704379403 Issued in MI

Practice address

411 3Rd St
Monett, MO 65708-2008

Phone

(417) 476-1000

Fax

(417) 943-5540

NPI assigned

May 20, 2019

Last updated

Sep 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katey Ann Keys Former name

Medicare fee-for-service enrollment

Enrolled in MO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bootheel Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sikeston, MO
  • NPI 1386789139
  Medicare reassignment NPD
• Clark Community Mental Health Center

  • Community/Behavioral Health Agency
  • Monett, MO
  • NPI 1801807771
  Medicare reassignment NPD
• Bootheel Counseling Services

  • Rural Health Clinic/Center
  • Sikeston, MO
  • NPI 1497064547
  NPD
• Bootheel Counseling Services

  • Community/Behavioral Health Agency
  • Sikeston, MO
  • NPI 1700652898
  NPD (past)
• Clark Community Mentalhealth Center

  • Children's Substance Abuse Rehabilitation Facility
  • Monett, MO
  • NPI 1912337692
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1104483742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 3RD ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082008",
            "telephone_number": "417-476-1000",
            "fax_number": "417-943-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "MO",
            "postal_code": "657538104",
            "country_code": "US",
            "telephone_number": "417-634-4203",
            "fax_number": "417-634-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658034300",
            "country_code": "US",
            "telephone_number": "417-823-2950",
            "fax_number": "417-823-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 E Beltline Ave NE Fl 3",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495258614",
            "country_code": "US",
            "telephone_number": "616-447-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "KATEY",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704379403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATEY",
            "last_name": "KEYS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian K Smith, CRNA
• Jada Smith, MS, CCC-SLP
• Karla Smith, LCSW
• Seth Snowden
• SRZ Op Bentonview LLC (Bentonview Park Health & Rehabilitation)
• Yvonne Stanke, CRNA
• Kelsie Stauffer, PMHNP
• Stephen E Stidham, DDS
• Elizabeth Katherine Stotlemeyer
• Melanie Kay Strong

• Psychiatric/Mental Health Nurse Practitioner in Monett, MO
• Providers in Monett, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.