Angela Victoria Stafford

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN89434 Issued in MA

Practice address

21 Kenwood St
Greenfield, MA 01301-1973

Phone

(413) 223-5072

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Health Network, Inc

  • Methadone Clinic
  • Springfield, MA
  • NPI 1669017653
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1366197501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KENWOOD ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011973",
            "telephone_number": "413-223-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KENWOOD ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011973",
            "telephone_number": "413-223-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "ANGELA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN89434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddox Jeffrey Sprengel
• Marlena Ashley Springstubb, CNM
• Susan Ellen Sprung, MSW
• Dawn St. Luce, RN
• Samantha May Staelens, MSW
• Nicole Stafford
• Laura Elizabeth Stamas
• Darlene Stanisiewski, RN LMHC
• Kimberly Louise Starr, DNP
• Abageal Stasny

• Licensed Practical Nurse in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.