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Deactivated NPI 1407065345 Deactivated / Inactive NPI Female Practitioner

Mary Ellen Stanley

Driver • Ukiah, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Stanley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007
NPI Deactivation Date December 14, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Mary Stanley was a registered Driver practicing in Ukiah, CA. Throughout an active medical career spanning 10 years, Mary Stanley provided care at the practice location at 860 N BUSH ST until profile deactivation on 2017-12-14.

Practice Location & Contact Primary Location

Practice Address

860 N Bush St

Ukiah, CA 954823919

Telephone 7074634303
Associated Practice Facility / Clinic
🏢 County Of Mendocino Facility NPI 1588730642

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Ukiah, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Ukiah, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Henry Sadowski

Case Manager/Care Coordinator

NPI 1013160241
Laurel Bleess

Registered Nurse

NPI 1063620391
Tasha Craig

Marriage & Family Therapist

NPI 1073828778
Peter Fiore

Case Manager/Care Coordinator

NPI 1457561433
Emma Jeanpierre , MPH

Case Manager/Care Coordinator

NPI 1508075722

Master of Public Health

NPI 1538376223

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 14, 2017

Record deactivated on December 14, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 860 N BUSH ST, UKIAH, CA 954823919 (Tel: 7074634303)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1951, LUCERNE, CA 954581951 (Tel: 7074891494)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY STANLEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Driver

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Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407065345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: July 08, 2007
Deactivation Date: December 14, 2017

Mailing Address

Po Box 1951

Lucerne, CA 954581951

Phone: 7074891494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.