Marta Elaine Doxstader, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

181498-1 Issued in NY

Practice address

State Route 28
Woodgate, NY 13494

Phone

(315) 392-5600

NPI assigned

Jun 12, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1366646754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 STATE ROUTE 274",
            "city": "REMSEN",
            "state": "NY",
            "postal_code": "134384639",
            "telephone_number": "315-865-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROUTE 28",
            "city": "WOODGATE",
            "state": "NY",
            "postal_code": "13494",
            "telephone_number": "315-392-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOXSTADER",
        "first_name": "MARTA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "181498-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.