Mary Shirlene Staatz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95215905 Issued in CA

Practice address

11512 B Ave
Auburn, CA 95603-2605

Phone

(916) 786-3750

NPI assigned

May 28, 2020

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1972126605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1591",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974961591",
            "telephone_number": "971-208-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 B AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032605",
            "telephone_number": "916-786-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATZ",
        "first_name": "MARY",
        "middle_name": "SHIRLENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95215905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Spangler, PHD
• Cari Ann Spencer, N.D.
• Sandie Spielman, RDH
• Cameron Sprouse
• Connie Natale St. James
• Riley Robert Stammerjohan
• Brian B. Stamper, MD
• Bunny Stanfield, PH.D.
• Kamryn E Staples
• Mary C. Starr, MFT

• Registered Nurse in Auburn, CA
• Providers in Auburn, CA by specialty
• Registered Nurse in California

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