STACY RENEE ANDERSON (NPI# 1063068740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063068740 |
| Entity Type | Individual |
| Full Name | STACY RENEE ANDERSON |
| Practice Address |
1510 Talon Dr Cameron MO 64429-2095 |
| Practice Telephone | 8162941519 |
| Mailing Telephone | 8162941519 |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2019-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366646713 | Stacy Lynette Anderson | Social Worker | 1501 N Meridian Ave, Wichita, KS 67203-1942 | 2007-06-11 |
| 1306457031 | Stacy Anne Anderson | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-08-15 |
| 1144846064 | Stacy Ann Anderson | Registered Nurse | 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 | 2020-06-17 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1386094134 | Stacy Anderson | Case Manager/Care Coordinator | 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 | 2016-06-13 |
| 1376949842 | Stacy Diane Anderson | Counselor | 2601 Pasadena Blvd, Pasadena, TX 77502-3265 | 2014-11-11 |
| 1619210648 | Stacy Lee Anderson | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2013-03-28 |
| 1093020653 | Stacy Jennifer Anderson | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2010-08-07 |
| 1710114038 | Stacy Anderson | Pharmacist | 1401 N 1st St, Grand Junction, CO 81501-2139 | 2009-06-12 |
| 1790931319 | Stacy Anderson | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2008-08-14 |
| Street Address |
1510 TALON DR |
| City | CAMERON |
| State | MO |
| Zip Code | 64429-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1376734145 | Douglas A Wyckoff Dds PC | Dentist | 1801 N Walnut, Cameron, MO 64429 | 2007-08-07 |
| Find all providers in zip 64429 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062156 | Sherri Ramsey Hawkins | Technician | 9155 Cozens Ave, Saint Louis, MO 63136-4078 | 2020-11-01 |
| 1760009575 | Simone Mcgary | Technician | 2480 Lampong Dr Apt 100c, Saint Louis, MO 63125-3145 | 2020-06-26 |
| 1396367025 | Rebekah Joy Carlson | Technician | 111 Walkin Rd, Iberia, MO 65486-9700 | 2020-05-15 |
| 1962024752 | Brittany Evans | Technician | 8301 Hawkesbury Dr, Saint Louis, MO 63121-1004 | 2020-05-14 |
| 1487276309 | Diana Denise Norman | Technician | 7218 Virginia Ave, Saint Louis, MO 63111-3018 | 2020-05-13 |
| 1023639762 | Mary Morlean | Technician | 2489 Ripley Route T, Oxly, MO 63955-5963 | 2020-05-05 |
| 1992324438 | Betty Anne Bogart | Technician | 19108 Old Bb, Holt, MO 64048-8751 | 2020-04-14 |
| 1689208332 | Josie Ryan Smith | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
| 1669017331 | Adria Marie Mckenna | Technician | 5028 Clayridge Dr Apt 309, Saint Louis, MO 63129-1251 | 2019-11-16 |
| 1629613054 | Theodore Laux | Technician | 707 E 7th St, Portageville, MO 63873-1507 | 2019-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.