Individual provider Active NPI

Marque Rudolph Stansberry

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1811556335
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3011 Landis St
Pittsburgh, PA 15204-1713
Phone
(661) 472-9475
Fax
(412) 875-5877
NPI assigned
Jun 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

3011 Landis St
Pittsburgh, PA 15204-1713

Mailing address

3011 Landis St
Pittsburgh, PA 15204-1713
Phone (125) 208-8401

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jasmine Nyree Homes Inc. CurrentSince Sep 27, 2020 Accepting new patients
Jasmine Nyree Home CurrentSince Mar 11, 2025 Accepting new patients

Locations

3011 Landis St
Pittsburgh, PA 15204
Phone (412) 520-8401

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.

NPI Registry JSON

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1811556335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 LANDIS ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152041713",
            "telephone_number": "125-208-8401",
            "fax_number": "412-875-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 LANDIS ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152041713",
            "telephone_number": "661-472-9475",
            "fax_number": "412-875-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBERRY",
        "first_name": "MARQUE",
        "middle_name": "RUDOLPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.