Stacy Donnia Christman, CERTIFIED PEDORTHIST

Primary specialty

PedorthistTaxonomy code 224L00000X

License

CPED4496 Issued in TX

Practice address

1106 Alston Ave Ste 201
Ft Worth, TX 76104-4644

Phone

(817) 335-1445

Fax

(817) 336-1171

NPI assigned

Aug 2, 2019

Last updated

Aug 2, 2019By 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

Other names 1

• Ms. Stacy Donnia Christman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1700431145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 CAMDEN CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134802",
            "telephone_number": "972-746-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ALSTON AVE STE 201",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044644",
            "telephone_number": "817-335-1445",
            "fax_number": "817-336-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAN",
        "first_name": "STACY",
        "middle_name": "DONNIA",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED PEDORTHIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": "TX",
            "license": "CPED4496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "CHRISTMAN",
            "middle_name": "DONNIA",
            "prefix": "MS.",
            "credential": "CERTIFIED PEDORTHIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pedorthist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pedorthist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.