Theresa R Stauffer, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

113043-3102 Issued in UT

Practice address

2940 S 2520 E
SLC, UT 84109-2521

Phone

(801) 671-8116

NPI assigned

Apr 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1285029702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 S 2520 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841092521",
            "telephone_number": "801-671-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 S 2520 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841092521",
            "telephone_number": "801-671-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "THERESA",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "UT",
            "license": "113043-3102",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "UT",
            "license": "113043-5701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylynn Southwick
• Trevor Speegle
• Sean Spinner
• Jeanne St.Clergy, REGISTER NURSE
• State of Utah
• Changhong Cherry Steele
• Max M Steele, M.D.
• Kaylie Stephens
• Steven E Warren MD PC LLC
• Peter M Stevens, MD

• Infection Control Registered Nurse in SLC, UT
• Providers in SLC, UT by specialty
• Infection Control Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.