Individual provider Active NPI

Stanley F Wanat, PHD POSTDOC BDCERTIF

  • Health Educator
  • Stanford, CA
National Provider Identifier
1487981502
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
241 Santa Teresa LN
Stanford, CA 94305-8011
Phone
(650) 799-3344
NPI assigned
Nov 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

241 Santa Teresa LN
Stanford, CA 94305-8011

Mailing address

241 Santa Teresa LN
Stanford, CA 94305-8011
Phone (650) 799-3344

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1487981502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SANTA TERESA LN",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058011",
            "telephone_number": "650-799-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SANTA TERESA LN",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058011",
            "telephone_number": "650-799-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANAT",
        "first_name": "STANLEY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD POSTDOC BDCERTIF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.