Active NPI
Carol Jean Stouffer
- Adult Health Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1659370336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- UP000399C
- Practice address
- 3708 5TH Ave
Suite 500
Pittsburgh, PA 15213-3427 - Phone
- (412) 383-1861
- Fax
- (412) 383-1807
- NPI assigned
- Jul 15, 2005
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | UP000399C | PA | Primary |
Addresses
Primary practice location
3708 5TH Ave
Suite 500
Pittsburgh, PA 15213-3427
Mailing address
2140 Beulah Rd
Pittsburgh, PA 15235-5023
Phone (412) 825-6614
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UP000399C | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Facilities Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Beaver, PA
- NPI 1063422053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659370336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 BEULAH RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152355023",
"telephone_number": "412-825-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 5TH AVE",
"address_2": "SUITE 500",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133427",
"telephone_number": "412-383-1861",
"fax_number": "412-383-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUFFER",
"first_name": "CAROL",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "UP000399C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.