Active NPI
Joan Elizabeth Wolfe Stauffer, CTRS, ATRIC
- Contractor
- Whitmore Lake, MI
National Provider Identifier
1992257414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 60571
- Practice address
- 9604 Palmer
Whitmore Lake, MI 48189 - Phone
- (734) 883-8932
- Fax
- (810) 462-1139
- NPI assigned
- Nov 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 60571 | MI | Primary |
Addresses
Primary practice location
9604 Palmer
Whitmore Lake, MI 48189
Mailing address
9604 Palmer
Whitmore Lake, MI 48189
Phone (734) 883-8932
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60571 | MI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1992257414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9604 PALMER",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "48189",
"telephone_number": "734-883-8932",
"fax_number": "810-462-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9604 PALMER",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "48189",
"telephone_number": "734-883-8932",
"fax_number": "810-462-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUFFER",
"first_name": "JOAN",
"middle_name": "ELIZABETH WOLFE",
"credential": "CTRS, ATRIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MI",
"license": "60571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitmore Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.