Individual provider Active NPI

Felecia Stotts

  • Specialist
  • Far Rockaway, NY
National Provider Identifier
1306109616
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1812329 Issued in NY
Practice address
106 Beach 59St
Apt 101
Far Rockaway, NY 11692
Phone
(646) 427-4534
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1812329 NY Primary

Addresses

Primary practice location

106 Beach 59St
Apt 101
Far Rockaway, NY 11692

Mailing address

106 Beach 59St Apt 101
Apt 101
Far Rockaway, NY 11692
Phone (646) 427-4534

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
1812329NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Munchies Play House Corporation Current Accepting new patients
Very Little Munchies Inc Specialist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1306109616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BEACH 59ST APT 101",
            "address_2": "APT 101",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11692",
            "telephone_number": "646-427-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BEACH 59ST",
            "address_2": "APT 101",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11692",
            "telephone_number": "646-427-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTTS",
        "first_name": "FELECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1812329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.