Active NPI
Amy Schaffer
- Social Worker
- Santa Rosa, CA
National Provider Identifier
1295733681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14958
- Practice address
- 3558 Round Barn Blvd Ste 106
Santa Rosa, CA 95403-0989 - Phone
- (707) 571-3702
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14958 | CA | Primary |
Addresses
Primary practice location
3558 Round Barn Blvd Ste 106
Santa Rosa, CA 95403-0989
Mailing address
PO Box 2470
Sausalito, CA 94966-2470
Phone (707) 781-7219
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14958 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295733681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2470",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949662470",
"telephone_number": "707-781-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3558 ROUND BARN BLVD STE 106",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954030989",
"telephone_number": "707-571-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "AMY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "14958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.