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CHRISTINA STAPLETON L.L.C NPI 1003205998

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1003205998 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name CHRISTINA STAPLETON, L.L.C The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Practice Location Address 10315 DAWSONS CREEK BLVD # 12 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name FORT WAYNE The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name IN The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code 468251912 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 2603876340 The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date 1/14/2015 The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 1/14/2015 The date that a record was last updated or changed.
Authorized Official Last Name STAPLETON The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name CHRISTINA The first name of the authorized official.
Authorized Official Middle Name NICOLE The middle name of the authorized official.
Authorized Official Title or Position COUNSELOR The title or position of the authorized official.
Authorized Official Telephone Number 7652439416 The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1 261QM0801X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1 39002095A The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1 IN The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1 Y
Is Organization Subpart N
Authorized Official Credential Text M.A.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/8/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.