Dorothy Dushawn Stafford

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NA0060015704 Issued in TX

Practice address

1400 S Frazier St Apt 55
Conroe, TX 77301-4466

Phone

(682) 438-0255

NPI assigned

Jan 2, 2021

Last updated

Jan 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dorothy Dushawn Freeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1255929667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S FRAZIER ST APT 55",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014466",
            "telephone_number": "682-438-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S FRAZIER ST APT 55",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014466",
            "telephone_number": "682-438-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "DOROTHY",
        "middle_name": "DUSHAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "NA0060015704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "FREEMAN",
            "middle_name": "DUSHAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Home Health Agency in Conroe, TX
• Providers in Conroe, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.