Kimberly A. Stauffer, MS, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R083215 Issued in MD

Practice address

2003 Medical Parkway
Suite 400
Annapolis, MD 21401-3088

Phone

(410) 573-2530

Fax

(410) 573-2536

NPI assigned

Jul 28, 2006

Last updated

Jul 9, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639183635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PARKWAY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013088",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PARKWAY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013088",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "credential": "MS, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R083215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Stanley, CRNP
• Stephen F Stanziale, M.D.
• Jessica J Staples, D.C.
• Starburst Counseling & Wellness (Helping Hands Counseling & Wellness)
• Charles R. Staubs, DO
• Stay Home Safely, LLC
• Scott Michael Steckler, DDS
• Marshall K Steele III, M.D.
• Mary E Steele, D.C.
• Stefanie Moynihan, PH.D., LLC

• Adult Health Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.