NPIMap

Organization Active NPI

Sapphire Adult Health NP, P.C.

  • Community Health Clinic/Center
  • Wallkill, NY
National Provider Identifier
1386303303
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SAPPHIRE ADULT HEALTH NP, P.C.
Practice address
3 Gerri CT
Wallkill, NY 12589-2777
Phone
(845) 288-0556
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Ms. Shavonn Crystal Stallings, ANPNPI 1790028090
Title
Nurse Practitioner
Phone
(347) 731-4284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

3 Gerri CT
Wallkill, NY 12589-2777

Mailing address

3 Gerri CT
Wallkill, NY 12589-2777
Phone (845) 288-0556

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1386303303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GERRI CT",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125892777",
            "telephone_number": "845-288-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GERRI CT",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125892777",
            "telephone_number": "845-288-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE ADULT HEALTH NP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "SHAVONN",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-731-4284",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.