Darci Stanford, BCCS

Primary specialty

SpecialistTaxonomy code 174400000X

License

BCCS205744 Issued in MN

Practice address

130 E Vine St
Owatonna, MN 55060-2428

Phone

(507) 414-7287

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stanford Co, LLC

  • Specialist
  • Owatonna, MN
  • NPI 1558976753
  NPD Authorized official

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1346769692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E VINE ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E VINE ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602428",
            "telephone_number": "507-414-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "DARCI",
        "credential": "BCCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "BCCS205744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Spell, OD
• Dominique Rae Stadler, LPN
• Lacey M Stadler, BSW
• Stage by Staige
• Stanford Co, LLC
• Madeline Statlander-Kottke, MA
• Steele County Communities for a Lifetime, Inc.
• Stellar Wellness
• Ranae M Stine, RDH, ADT
• Savannah Stoos, DPT

• All providers in Owatonna, MN
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.