Individual provider Active NPI

Stefanie Season Pokoj, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Richardson, TX
National Provider Identifier
1962881045
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
2504 Issued in TX
Practice address
3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1472
Phone
(214) 295-6703
Fax
(214) 245-5267
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2504 TX Primary

Addresses

Primary practice location

3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1472

Mailing address

3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1472
Phone (214) 295-6703

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

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962881045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WATERVIEW PKWY STE 305",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801472",
            "telephone_number": "214-295-6703",
            "fax_number": "214-245-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WATERVIEW PKWY STE 305",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801472",
            "telephone_number": "214-295-6703",
            "fax_number": "214-245-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKOJ",
        "first_name": "STEFANIE",
        "middle_name": "SEASON",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "2504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.