Active NPI
Stacy Crouser
- Transportation Broker
- Mogadore, OH
National Provider Identifier
1235735879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 1460 Congress Lake Rd
Mogadore, OH 44260-1924 - Phone
- (330) 807-2345
- NPI assigned
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | OH | Primary |
Addresses
Primary practice location
1460 Congress Lake Rd
Mogadore, OH 44260-1924
Mailing address
1460 Congress Lake Rd
Mogadore, OH 44260-1924
Phone (330) 807-2345
Other names 1
- Stacy Williams
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": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1235735879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 CONGRESS LAKE RD",
"city": "MOGADORE",
"state": "OH",
"postal_code": "442601924",
"telephone_number": "330-807-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 CONGRESS LAKE RD",
"city": "MOGADORE",
"state": "OH",
"postal_code": "442601924",
"telephone_number": "330-807-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSER",
"first_name": "STACY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "WILLIAMS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mogadore, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.