Active NPI
Suzan Nannette Stalder
- Home Health Aide
- Springfield, OH
National Provider Identifier
1801522347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0487891
- Practice address
- 2040 Westboro Ave
Springfield, OH 45503-1758 - Phone
- (937) 631-5233
- NPI assigned
- Jul 27, 2022
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 0487891 | OH | Primary |
Addresses
Primary practice location
2040 Westboro Ave
Springfield, OH 45503-1758
Mailing address
2040 Westboro Ave
Springfield, OH 45503-1758
Phone (937) 631-5233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487891 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Suzanstalder1026@outlook.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | Suzanstalder1026@outlook.com | Direct |
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 |
|---|---|---|---|
| 0487891 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1801522347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 WESTBORO AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031758",
"telephone_number": "937-631-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 WESTBORO AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031758",
"telephone_number": "937-631-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALDER",
"first_name": "SUZAN",
"middle_name": "NANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "0487891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487891",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Suzanstalder1026@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2040 Westboro Ave",
"city": "Springfield",
"state": "OH",
"country_code": "US",
"postal_code": "455031758",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Suzanstalder1026@outlook.com",
"affiliation": "N",
"endpointDescription": ".email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2040 Westboro Ave",
"city": "Springfield",
"state": "OH",
"country_code": "US",
"postal_code": "455031758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.