Active NPI
Catherine Anna Scarlett Stoddard
- Family Nurse Practitioner
- Auburn Hills, MI
National Provider Identifier
1720779341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03230308
- Practice address
- 2240 N Opdyke Rd
Auburn Hills, MI 48326-2435 - Phone
- (248) 289-7400
- NPI assigned
- May 16, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03230308 | MI | Primary |
Addresses
Primary practice location
2240 N Opdyke Rd
Auburn Hills, MI 48326-2435
Mailing address
37767 Via Rosalie St
Clinton Township, MI 48036-2972
Phone (716) 238-6909
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03230308 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Creek Pediatrics, PLLC | Past | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11246/brand/1/csg/1/fhir/r4
- catherine.stoddard.1@11246.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Rochester, MI
- NPI 1194792168
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1720779341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37767 VIA ROSALIE ST",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480362972",
"telephone_number": "716-238-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 N OPDYKE RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262435",
"telephone_number": "248-289-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "CATHERINE",
"middle_name": "ANNA SCARLETT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "F03230308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.