MISTY MAHAFFEY (NPI# 1831569391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831569391 |
| Entity Type | Individual |
| Full Name | MISTY MAHAFFEY |
| Credential | RN, AGACNP |
| Practice Address |
875 Blake Wilbur Drive Stanford CA 94305 |
| Mailing Address |
300 Pasteur Dr Stanford CA 94305-2200 |
| Practice Telephone | 6504986000 |
| Mailing Telephone | 6507234000 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP95003142 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95003142 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 BLAKE WILBUR DRIVE |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932135290 | Melinda L Telli | Internal Medicine | 875 Blake Wilbur Drive, Mc 5820, Stanford, CA 94305 | 2006-06-25 |
| 1659829059 | Michelle S. Gonzales | Nurse Practitioner | 875 Blake Wilbur Drive, Cc-1314, Stanford, CA 94305 | 2016-09-14 |
| 1104200575 | Vinay Thomas Fernandes | Otolaryngology | 875 Blake Wilbur Drive, Cc-2226a, Stanford, CA 94305 | 2015-07-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1043589880 | Sara Aileen Dudley | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Drive, Cc-g222, Stanford, CA 94305-5847 | 2011-12-23 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1083918445 | Maricris Bertolano Dacumos | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2010-12-28 |
| 1164737318 | Scott Victor Bratman | Radiology | 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5847 | 2010-08-12 |
| 1609189687 | Stanford University | General Acute Care Hospital | 875 Blake Wilbur Drive, Stanford, CA 94305-5847 | 2010-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952705113 | Marie Rinaldi | Nurse Practitioner | 300 Pasteur Dr # Mc5221, Stanford, CA 94305-2200 | 2014-10-17 |
| 1689083891 | Ani Nina Bagdasarian | Nurse Practitioner | 300 Pasteur Dr Ste H3600, Stanford, CA 94305-5642 | 2014-08-13 |
| 1881945194 | Christine Louise Szura Shen | Nurse Practitioner | 300 Pasteur Drive Mc 5221, Stanford, CA 94305 | 2012-09-26 |
| 1639489875 | Alyshia Aileene Ogdie | Nurse Practitioner | 300 Pasteur Drive, Neurosciences, A3, Stanford University Medical Center, Stanford, CA 94305 | 2010-10-20 |
| 1235464033 | Kara Master Rainusso | Nurse Practitioner | 300 Pasteur Dr # A260, Mc5319, Stanford, CA 94305-2200 | 2009-10-12 |
| 1598908907 | Christina Wilson | Nurse Practitioner | 300 Pasteur Dr # H3600, Stanford, CA 94305-2200 | 2009-04-15 |
| 1750581203 | Angela Tsiperfal | Nurse Practitioner | 300 Pasteur Dr # H2149, Stanford, CA 94305-2200 | 2007-07-23 |
| 1205444833 | Kristen Seeley | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-07-20 |
| 1467073676 | Keena R Patel | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2299 | 2020-04-28 |
| 1023599255 | Ranjit Nair | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2018-08-26 |
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| 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.