Adrienne D Stovall

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2600 San Leandro Blvd Apt 116
San Leandro, CA 94578-5006

Phone

(510) 850-9137

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1851991830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SAN LEANDRO BLVD APT 116",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945785006",
            "telephone_number": "510-850-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SAN LEANDRO BLVD APT 116",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945785006",
            "telephone_number": "510-850-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "ADRIENNE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sanleandro",
            "affiliation": "N",
            "address_1": "2600 San Leandro Blvd Apt 116",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945785006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Stone
• Jamie Stonick, OD
• Holly Marie Storey
• Anna Stosich, LMFT
• Marie Stosich
• Rodrick Edward Stovall
• Alyson Straub
• Jeanne Marie Strauss, LMFT
• Cameron Straw
• Morgan Kristina Strawn, RADT-1

• Behavior Technician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.