SOPHIA STALEY NPI 1205507597

NPI Information

  • NPI: 1205507597
  • Provider Name: SOPHIA STALEY
  • Classification: Nurse Practitioner - 363LC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6716 PARSONS BLVD APT 6C
    FLUSHING, NY
    ZIP 11365
  • Phone: (718) 591-5308

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NPI Details

Sophia Staley is a critical care medicine nurse practitioner in Flushing, NY with 8 years of experience. Sophia Staley NPI is 1205507597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6716 PARSONS BLVD APT 6C
FLUSHING, NY
ZIP 11365-958
Phone: (718) 591-5308

The NPI 1205507597 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2021 and was last updated on 9/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LC0200XNurse PractitionerCritical Care MedicineF432146-01NEW YORKYes

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: 11/21/2025

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