Active NPI
Staci Joanna Exceus
- Counselor
- Sacramento, CA
National Provider Identifier
1124731773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1456 Dreamy Way
Sacramento, CA 95835-1761 - Phone
- (407) 233-7634
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1456 Dreamy Way
Sacramento, CA 95835-1761
Mailing address
1456 Dreamy Way
Sacramento, CA 95835-1761
Phone (407) 233-7634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y5469459 | Other | CA | CALIFORNIA DMV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1124731773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 DREAMY WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351761",
"telephone_number": "407-233-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 DREAMY WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351761",
"telephone_number": "407-233-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXCEUS",
"first_name": "STACI",
"middle_name": "JOANNA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DMV",
"identifier": "Y5469459",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
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- Eye 2 Eye Family Optometry, P.C.
- Eye Chicks, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.