Active NPI
Beth-Ann Green-Stoltzner, AAS COTA
- Day Training/Habilitation Specialist
- Arizona City, AZ
National Provider Identifier
1629277066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- 682
- Practice address
- 8497 W. Concordia Dr
Rehabilitation Department
Arizona City, AZ 85123-2211 - Phone
- (530) 828-8874
- NPI assigned
- Jul 16, 2007
- Last updated
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | 682 | CA | Primary |
Addresses
Primary practice location
8497 W. Concordia Dr
Rehabilitation Department
Arizona City, AZ 85123-2211
Mailing address
8497 W. Concordia Dr
Rehabilitation Department
Arizona City, AZ 85123-2211
Phone (530) 828-8874
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
- Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 682 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1629277066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8497 W. CONCORDIA DR",
"address_2": "REHABILITATION DEPARTMENT",
"city": "ARIZONA CITY",
"state": "AZ",
"postal_code": "851232211",
"telephone_number": "530-828-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8497 W. CONCORDIA DR",
"address_2": "REHABILITATION DEPARTMENT",
"city": "ARIZONA CITY",
"state": "AZ",
"postal_code": "851232211",
"telephone_number": "530-828-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN-STOLTZNER",
"first_name": "BETH-ANN",
"name_prefix": "Miss",
"credential": "AAS COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": "682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arizona City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.