STACY L THOMPSON


Address: 1520 N Senate Ave, Indianapolis, IN 46202-2213
Phone: 3179628893

STACY L THOMPSON (NPI# 1063840759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063840759
Entity Type Individual
Full Name STACY L THOMPSON
Other Name STACY LYNN FETZER
Credential NP
Practice Address 1520 N Senate Ave
Indianapolis
IN 46202-2213
Mailing Address 250 N Shadeland Ave
Suite 130 - Provider Enrollment
Indianapolis
IN 46219-4959
Practice Telephone 3179628893
Practice Fax Number 3179626722
Enumeration Date 2013-10-16
Last Update Date 2014-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP2201X Registered Nurse
Specialization: Ambulatory Care
28207962A IN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
71004728A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201200500 05

Other Providers STACY THOMPSON

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1659719706 Stacy Renee Thompson Nurse Practitioner 520 Wilkes Dr Ste 13, Green River, WY 82935-4854 2013-06-11
1003189929 Stacy Delores Thompson Doula 1976 Canary Ct, Troy, MI 48084-1409 2012-02-23
1508148529 Stacy E. Thompson Counselor 1817 French Creek Rd Apt 4, Tampa, FL 33613-4374 2011-09-15
1649491150 Stacy Thompson Counselor 1124 Blanton Dr, Sevierville, TN 37862-5049 2007-05-01
1427418987 Stacy Thompson Massage Therapist 10370 Park Rd, Suite 200, Charlotte, NC 28210-8508 2016-02-26
1194149393 Stacy Darlene Thompson Social Worker 2200 Forest Ridge Pkwy Ste 310, New Castle, IN 47362-2943 2014-02-07
1912134289 Stacy Ellen Thompson Pediatrics 90 Millburn Ave, Suite 101, Millburn, NJ 07041-1945 2009-06-15
1285859470 Stacy Deann Thompson Occupational Therapist 3135 Zion Rd, Henderson, KY 42420-9204 2007-04-14

Office Location

Street Address 1520 N SENATE AVE
City INDIANAPOLIS
State IN
Zip Code 46202-2213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265439566 Shaun J Grannis Family Medicine 1520 N Senate Ave, Indianapolis, IN 46202-2213 2005-06-30
1255940417 Stacey Charles Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-07-23
1043838543 Daniel Livera Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-07-10
1366064321 Allison Suzanne Foley Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-05-13
1386265916 Shawn Kenneth Chaung Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-05-06
1871113845 Kayla Brubaker Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-04-20
1457971608 Cho Mar Aung Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-04-17
1508486754 Ariel Marie Dryden Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-04-17
1316566706 Bennet Joseph Ladowski Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-04-15
1346869104 James Thomas Barton Student in an Organized Health Care Education/Training Program 1520 N Senate Ave, Indianapolis, IN 46202-2213 2020-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1922614965 Children Express Care Clinic LLC Nurse Practitioner 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 2020-09-16
1255956272 Heather Nicole Zore Nurse Practitioner 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 2020-06-15
1457976615 Adam Weir Nurse Practitioner 960 E Washington St, Indianapolis, IN 46202-3981 2020-06-13
1457975740 Ayee Teah Bleemie Nurse Practitioner 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 2020-06-02
1689294357 May Josefa Ishikawa Nurse Practitioner 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 2020-04-22
1760001200 John Shaver Nurse Practitioner 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 2020-04-14
1851931000 Robin L Petit Nurse Practitioner 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 2020-01-15
1952941577 Andreya Beckett Nurse Practitioner 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 2020-01-11
1053950105 Shannon Malecki Nurse Practitioner 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 2020-01-06
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Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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Dataset Information

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.

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