Individual provider Active NPI

Latashia Stachura-Lee

  • Taxi
  • Niagara Falls, NY
National Provider Identifier
1194210286
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
336106651 Issued in NY
Practice address
612 23Rd St
Niagara Falls, NY 14301-2504
Phone
(716) 377-3687
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 336106651 NY Primary

Addresses

Primary practice location

612 23Rd St
Niagara Falls, NY 14301-2504

Mailing address

612 23Rd St
Niagara Falls, NY 14301-2504
Phone (716) 377-3687

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

State licenses

LicenseStateTypeSpecialty
336106651NYMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1194210286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 23RD ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012504",
            "telephone_number": "716-377-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 23RD ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012504",
            "telephone_number": "716-377-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHURA-LEE",
        "first_name": "LATASHIA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "336106651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.