1. Home
  2. Directory
  3. California
  4. Oakland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NIA STALLWORTH
NPI 1265965990
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since April 10, 2017PECOS Enrolled
747 52ND ST, OAKLAND, CA 94609(510) 428-3331 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2022, May 19, 2021, Apr 10, 2017 (3 updates tracked since 2017).

About Nia Stallworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIA STALLWORTH (NPI 1265965990) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265965990
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIA STALLWORTH
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address27303 Sleepy Hollow Ave SHayward, CA 94545-4203 · (713) 680-8661
Phone(510) 428-3331
Sole ProprietorNo
Enumeration DateApril 10, 2017
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1265965990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

747 52ND ST, Oakland, CA 94609
Open in Google Maps ↗

Other Names 1

Other Name (5)Nia Jones

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nia Stallworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nia Stallworth's NPI number?

The NPI number for Nia Stallworth is 1265965990. It was assigned to this individual provider in the NPPES registry on April 10, 2017. The provider is also known as Nia Jones.

Where is Nia Stallworth located?

Nia Stallworth practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3331.

What is Nia Stallworth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nia Stallworth enrolled in Medicare?

Yes. Nia Stallworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nia Stallworth was last updated on January 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.