Individual provider Active NPI

Cathy L Stanfield, NP

  • Acute Care Nurse Practitioner
  • Dundalk, MD
National Provider Identifier
1255477261
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R086517 Issued in MD
Practice address
40 S Dundalk Ave Ste 400
Dundalk, MD 21222-4273
Phone
(410) 220-0720
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X R086517 MD
Acute Care Nurse Practitioner 363LA2100X R086517 MD Primary

Addresses

Primary practice location

40 S Dundalk Ave Ste 400
Dundalk, MD 21222-4273

Mailing address

223 E Timonium Rd
Timonium, MD 21093-3344
Phone (410) 955-5144

Other identifiers 1

IdentifierTypeStateIssuer
099013200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20201211001140 MD Practitioner - Nurse Practitioner 9032387204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Matclinic Physicians Practice Group LLCGroup PAC ID 3274804349, 22 clinicians

Practice addresses (Care Compare)

40 S Dundalk Ave
Suite 400
Dundalk, MD 21222-4273
Phone (410) 220-0720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R086517MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matclinic Physicians Practice Group LLC CurrentSince Dec 1, 2020 Accepting new patients
Matclinic Physicians Practice Group LLC Addiction Medicine CurrentSince Dec 1, 2020 Accepting new patients

Locations

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

40 York Rd
Ste 201
Towson, MD 21204
Phone (410) 220-0780

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1255477261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E TIMONIUM RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933344",
            "telephone_number": "410-955-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S DUNDALK AVE STE 400",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224273",
            "telephone_number": "410-220-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "CATHY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MD",
            "license": "R086517",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R086517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099013200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.