KATHERINE JEANNE STAFFORD NP
NPI 1417569526
Nurse Practitioner - Women's Health in Yucaipa, CA

Q: What is Katherine Stafford's NPI number?

The NPI number for Katherine Stafford is 1417569526. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Q: What is Katherine Stafford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since August 19, 2020

34952 GAIL AVE, YUCAIPA, CA 92399(909) 917-5504 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Katherine Jeanne Stafford Np NPPES

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

KATHERINE JEANNE STAFFORD NP (NPI 1417569526) is an individual women's health provider in Yucaipa, California, licensed in California (489727) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1417569526

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKATHERINE JEANNE STAFFORDCredential: NP

Location Address34952 GAIL AVEYucaipa, CA 92399-2830

Mailing Address34952 Gail AveYucaipa, CA 92399-2830 · (909) 917-5504

Phone(909) 917-5504

Sole ProprietorYes

Enumeration DateAugust 19, 2020

NPPES CertifiedAugust 19, 2020

✔ NPI 1417569526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 489727

34952 GAIL AVE, Yucaipa, CA 92399

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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 Katherine Stafford's NPI number?

The NPI number for Katherine Stafford is 1417569526. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Katherine Stafford located?

Katherine Stafford practices at 34952 Gail Ave, Yucaipa, CA 92399. The listed phone number is (909) 917-5504.

What is Katherine Stafford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Katherine Stafford was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.