MISTY RAE STAUFFER (NPI# 1124678156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124678156 |
| Entity Type | Individual |
| Full Name | MISTY RAE STAUFFER |
| Credential | FNP |
| Practice Address |
406 Viking Cove Rd Huntington TX 75949-3474 |
| Mailing Address |
Po Box 1032 Huntington TX 75949-1032 |
| Practice Telephone | 9364223506 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
897445 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F09190179 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AANP | F09190179 | 01 |
| TX | TX BON RN | 897445 | 01 |
| Street Address |
406 VIKING COVE RD |
| City | HUNTINGTON |
| State | TX |
| Zip Code | 75949-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215494901 | Shelby Lauren Bryan | Dental Assistant | 529 Marshall Ivy Rd, Huntington, TX 75949 | 2019-02-28 |
| 1245554625 | Distinct Focus On Life Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 N Us Highway 69, Huntington, TX 75949 | 2010-03-15 |
| 1447339916 | Pineywoods Diagnostic Clinic | Family Medicine | 106 Highway 69 N, Huntington, TX 75949 | 2006-11-03 |
| 1740417682 | Gayatri Raina | Dentist | 1202 N Main St, Huntington, TX 75949 | 2009-06-18 |
| 1710506811 | Angela Lynn Day | Registered Nurse | 1640 Fm 1475, Huntington, TX 75949-2865 | 2020-04-09 |
| 1265707103 | Betsy Redd Smith | Counselor | 1202 Fm 1669, Huntington, TX 75949-2918 | 2012-03-10 |
| 1164922894 | Belinda Summers Moore | Licensed Vocational Nurse | 3180 Fm 328, Huntington, TX 75949-3019 | 2018-02-19 |
| 1689177669 | Angela Joy Lee | Licensed Vocational Nurse | 725 Robinson Ln, Huntington, TX 75949-3228 | 2018-03-15 |
| 1942746458 | Linda F Havard | Preferred Provider Organization | 16462 S Us Highway 69, Huntington, TX 75949-4499 | 2017-01-09 |
| 1700319415 | Stay At Home Health Care | In Home Supportive Care | 16462 S Us Highway 69, Huntington, TX 75949-4499 | 2017-04-10 |
| Find all providers in zip 75949 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143495 | Katherine Dowling | Nurse Practitioner | 1 Bouton Rd, Huntington, NY 11743-1003 | 2020-10-28 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1235747106 | Dathan Jobe | Nurse Practitioner | 2 Jacqueline Hts, Huntington, WV 25702-9764 | 2020-07-16 |
| 1427676923 | Taylor Regen Dean | Nurse Practitioner | 32 Brookstone Dr, Huntington, WV 25704-9563 | 2020-07-10 |
| 1689207516 | Sandra Walters | Nurse Practitioner | 1340 16th St, Huntington, WV 25701-3800 | 2020-02-19 |
| 1689223349 | Tashanna T Brown | Nurse Practitioner | 75 Prospect St Ste 204, Huntington, NY 11743-3320 | 2019-09-05 |
| 1194370676 | Chelse R Jobe | Nurse Practitioner | 2900 1st Ave Ste 10, Huntington, WV 25702-1241 | 2019-08-02 |
| 1609338284 | Anne M Weiser-maimone | Nurse Practitioner | 33 Knollwood Rd, Huntington, NY 11743-1527 | 2019-04-03 |
| 1396207262 | Vanessa Gervasi | Nurse Practitioner | 241 E Main St Ste 2c, Huntington, NY 11743-2917 | 2019-04-01 |
| 1659835205 | Holly Renee Adkins | Nurse Practitioner | 5187 Us Route 60 Ste 2, Huntington, WV 25705-2076 | 2019-01-29 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 75949 |
Please comment or provide details below to improve the information on MISTY RAE STAUFFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.