Sandra J Staab

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1100 K Ave
La Grande, OR 97850-2131

Phone

(541) 962-8800

Fax

(541) 963-5272

NPI assigned

Jun 19, 2009

Last updated

Jun 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Human Development, Inc

  • Public Health or Welfare Agency
  • La Grande, OR
  • NPI 1154455350
  NPD (past)
• Center for Human Development, Inc.

  • Community/Behavioral Health Agency
  • La Grande, OR
  • NPI 1114051315
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1932336625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GRANDY AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501724",
            "telephone_number": "541-962-8800",
            "fax_number": "541-963-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 K AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502131",
            "telephone_number": "541-962-8800",
            "fax_number": "541-963-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB",
        "first_name": "SANDRA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Camela Spangler, ND
• Elizabeth D Spicer
• Zachary W Spoehr-Labutta, MD
• Aaron Lloyd Spracklen, DO
• Michelle Sprouffske, MSW, LCSW
• Stacey J. Clarke D.P.M., P.C.
• Stacey J. Clarke DPM, PC
• Troy Stebbins
• Jennifer Stecher
• Stephen M. McLean, D.M.D.,P.C.

• Addiction (Substance Use Disorder) Counselor in La Grande, OR
• Providers in La Grande, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.