Individual provider Active NPI

Stacy L Demascolo, MTBC

  • Naturopath
  • Harrisburg, PA
National Provider Identifier
1285810705
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
07431 Issued in PA
Practice address
4601 Locust LN
Suite 202
Harrisburg, PA 17109-4444
Phone
(717) 526-2111
Fax
(717) 526-2117
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 07431 PA Primary

Addresses

Primary practice location

4601 Locust LN
Suite 202
Harrisburg, PA 17109-4444

Mailing address

4601 Locust LN
Suite 202
Harrisburg, PA 17109-4444
Phone (717) 526-2111

Other identifiers 1

IdentifierTypeStateIssuer
225A00000XMedicaidPA

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

State licenses

LicenseStateTypeSpecialty
07431PAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Living Unlimited Inc Past Accepting new patients

Organizations & group practices 1

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1285810705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LOCUST LN",
            "address_2": "SUITE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094444",
            "telephone_number": "717-526-2111",
            "fax_number": "717-526-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LOCUST LN",
            "address_2": "SUITE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094444",
            "telephone_number": "717-526-2111",
            "fax_number": "717-526-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASCOLO",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MTBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "PA",
            "license": "07431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225A00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.