Jessica N Stanford, MA

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1118 Melanie Dr
Sulphur, LA 70663-5944

Phone

(337) 540-8602

NPI assigned

Sep 9, 2021

Last updated

Sep 23, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1447929864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 MELANIE DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635944",
            "telephone_number": "337-540-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MELANIE DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635944",
            "telephone_number": "337-540-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Sittig, APRN
• Gary Kyle Slaven, DDS
• Deborah Paige Smith
• Michael J Sonnier
• Brandi Stacy, PT
• Star Haven Inc. (Sulphur Optical Shoppe)
• Tania Todorova Staykova-Tchakarova, MD
• Stelly Physical &Occupational Therapy
• Lucinda M. Stelly, R.PH.
• Preston Joseph Stelly Jr., P.T., O.T.

• Health & Wellness Coach in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Health & Wellness Coach in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.