Individual provider Active NPI

Stacey Rayford

  • Nurse's Aide
  • Baton Rouge, LA
National Provider Identifier
1336271329
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
1584827 Issued in LA
Practice address
11628 S Choctaw Dr
Baton Rouge, LA 70815-2107
Phone
(225) 275-5999
Fax
(225) 275-6611
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 1584827 LA Primary
Nurse's Aide 376K00000X 1584894 LA
Nurse's Aide 376K00000X 1456462 LA

Addresses

Primary practice location

11628 S Choctaw Dr
Baton Rouge, LA 70815-2107

Mailing address

11628 S Choctaw Dr
Baton Rouge, LA 70815-2107
Phone (225) 275-5999

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
1456462LAMDNurse's Aide
1584827LAMDNurse's Aide
1584894LAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336271329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 S CHOCTAW DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152107",
            "telephone_number": "225-275-5999",
            "fax_number": "225-275-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 S CHOCTAW DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152107",
            "telephone_number": "225-275-5999",
            "fax_number": "225-275-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYFORD",
        "first_name": "STACEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "LA",
            "license": "1584827",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "LA",
            "license": "1584894",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "LA",
            "license": "1456462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

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.

Verify at the official NPI Registry.