Individual provider Active NPI

Candace Jennette Staed, M.S.

  • Audiologist
  • Birmingham, AL
National Provider Identifier
1770776478
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0966A Issued in AL
Practice address
Ro44 Spain Rehabilitation Center
1717 6TH Avenue South
Birmingham, AL 35249-0001
Phone
(205) 934-4816
Fax
(205) 934-7420
NPI assigned
Aug 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0966A AL Primary

Addresses

Primary practice location

Ro44 Spain Rehabilitation Center
1717 6TH Avenue South
Birmingham, AL 35249-0001

Mailing address

619 19TH St S
SRC Ro44
Birmingham, AL 35249-1900
Phone (205) 934-4816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000540 AL Practitioner - Qualified Audiologist 8123298056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2018 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
#44
Birmingham, AL 35249

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

1717 6th Ave S
#R43
Birmingham, AL 35233
Phone (205) 934-4816

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188000000000",
    "number": "1770776478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "SRC RO44",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-4816",
            "fax_number": "205-934-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RO44 SPAIN REHABILITATION CENTER",
            "address_2": "1717 6TH AVENUE SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352490001",
            "telephone_number": "205-934-4816",
            "fax_number": "205-934-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAED",
        "first_name": "CANDACE",
        "middle_name": "JENNETTE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "0966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.