Traci Stallworth-Estrada, M.S, ED

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

12501 Britton Dr
Cleveland, OH 44120-1008

Phone

(216) 415-9532

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1508684481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 BRITTON DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 BRITTON DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201008",
            "telephone_number": "216-415-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH-ESTRADA",
        "first_name": "TRACI",
        "name_prefix": "Mrs.",
        "credential": "M.S, ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Staley
• George A Staley, DDS
• Evelyn Stallbaum
• Kevin Staller, LPC
• Charnell Stallings
• Kamela Denise Stallworth
• Latoya Andrea Stallworth
• Shonta Stallworth
• Brian J Stalter, P.T.
• Monica Lynn Stalter, OTRL

• Adult Companion in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Adult Companion in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.