Traci Stewart, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

413399-1 Issued in NY

Practice address

11 Hamilton Ave
Monticello, NY 12701-1319

Phone

(845) 794-8080

NPI assigned

Nov 11, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Council on Alcoholism & Drug Abuse of Sullivan County

  • Substance Abuse Rehabilitation Facility
  • Monticello, NY
  • NPI 1164778460
  NPD (past)
• Council on Alcoholism and Drug Abuse of Sullivan Co., Inc.

  • Substance Abuse Rehabilitation Facility
  • Monticello, NY
  • NPI 1437238706
  NPD (past)

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1275939753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAMILTON AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011319",
            "telephone_number": "845-794-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAMILTON AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011319",
            "telephone_number": "845-794-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TRACI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "413399-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loree Ann Stanton, RN
• Donna Steele, RN
• Richard Stein, D.V.M.
• Cheryl Lynn Stenzel, PH.D.
• Sarah Anne Stephens, MS, OTR/L
• Donald Duane Stoner, PA
• Helaine Stredwick
• Christina Strong, LPN
• Jennifer Lynn Stroud
• Daryl Subran, PHARMD

• Addiction (Substance Use Disorder) Registered Nurse in Monticello, NY
• Providers in Monticello, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.