Active NPI
Stephani Lynne Taber, R.N.
- Registered Nurse
- Rochester, MA
National Provider Identifier
1356541510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 212339
- Practice address
- 160 Marion Rd
Rochester, MA 02770-4112 - Phone
- (508) 763-5585
- Fax
- (508) 763-9693
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 212339 | MA | Primary |
Addresses
Primary practice location
160 Marion Rd
Rochester, MA 02770-4112
Mailing address
160 Marion Rd
Rochester, MA 02770-4112
Phone (508) 763-5585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0712477 | Other | MA | MASS HEALTH |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212339 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1356541510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 MARION RD",
"city": "ROCHESTER",
"state": "MA",
"postal_code": "027704112",
"telephone_number": "508-763-5585",
"fax_number": "508-763-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MARION RD",
"city": "ROCHESTER",
"state": "MA",
"postal_code": "027704112",
"telephone_number": "508-763-5585",
"fax_number": "508-763-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABER",
"first_name": "STEPHANI",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "212339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "0712477",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.