Active NPI
Danielle Nicole Stafford
- Student in an Organized Health Care Education/Training Program
- Albany, OR
National Provider Identifier
1760651533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 445 3Rd Ave SW
Albany, OR 97321-2272 - Phone
- (541) 967-3866
- NPI assigned
- Feb 26, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
445 3Rd Ave SW
Albany, OR 97321-2272
Mailing address
689 Eric Dr
Molalla, OR 97038-5601
Phone (503) 806-2754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230442 | Other | OR | DMAP |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1760651533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 ERIC DR",
"city": "MOLALLA",
"state": "OR",
"postal_code": "970385601",
"telephone_number": "503-806-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 3RD AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212272",
"telephone_number": "541-967-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMAP",
"identifier": "230442",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.