Individual provider Active NPI

Cara Teresa Stauder, CPNP

  • Nurse Practitioner
  • Westfield, MA
National Provider Identifier
1316670854
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2317247 Issued in MA
Practice address
477 Southwick Road
Westfield, MA 01085
Phone
(413) 562-5256
Fax
(413) 568-4757
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 193628 CT
Registered Nurse 163W00000X RN2317247 MA
Pediatric Nurse Practitioner 363LP0200X RN2317247 MA
Nurse Practitioner 363L00000X RN2317247 MA Primary

Addresses

Primary practice location

477 Southwick Road
Westfield, MA 01085

Mailing address

477 Southwick Road
Westfield, MA 01085
Phone (413) 562-5256

Other practice location 1

42 David St
Enfield, CT 06082-5011
Phone (413) 626-4994

Other names 1

  • Cara Teresa Butcher Former name

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
193628CTMDRegistered Nurse
RN2317247MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Hampden County, Inc. PastSince Dec 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cstauder38422@direct.chppoc.masshiway.net

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1316670854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 SOUTHWICK ROAD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01085",
            "telephone_number": "413-562-5256",
            "fax_number": "413-568-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 SOUTHWICK ROAD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "01085",
            "telephone_number": "413-562-5256",
            "fax_number": "413-568-4757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 David St",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060825011",
            "country_code": "US",
            "telephone_number": "413-626-4994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDER",
        "first_name": "CARA",
        "middle_name": "TERESA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "193628",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2317247",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2317247",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2317247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "BUTCHER",
            "middle_name": "TERESA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.