Active NPI
Tammy Michelle Stone
- Assisted Living Facility (Mental Illness)
- Adrian, MO
National Provider Identifier
1609387240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Practice address
- 431 NE County Road 10564
Adrian, MO 64720-5111 - Phone
- (660) 424-4080
- NPI assigned
- Oct 23, 2017
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary |
Addresses
Primary practice location
431 NE County Road 10564
Adrian, MO 64720-5111
Mailing address
466 NE County Road 10564
Adrian, MO 64720-5111
Phone (660) 424-4080
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1609387240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 NE COUNTY ROAD 10564",
"city": "ADRIAN",
"state": "MO",
"postal_code": "647205111",
"telephone_number": "660-424-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 NE COUNTY ROAD 10564",
"city": "ADRIAN",
"state": "MO",
"postal_code": "647205111",
"telephone_number": "660-424-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "TAMMY",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adrian, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.