MRS. STACY EDDLEMAN STUART (NPI# 1073120960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073120960 |
| Entity Type | Individual |
| Full Name | MRS. STACY EDDLEMAN STUART |
| Credential | CRNP |
| Practice Address |
333 Business Cir Pelham AL 35124-1778 |
| Mailing Address |
233 Winton Blount Loop Montgomery AL 36117-3507 |
| Practice Telephone | 2052553828 |
| Practice Fax Number | 3346257602 |
| Mailing Telephone | 3342392622 |
| Mailing Fax Number | 3346257602 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-152622 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 BUSINESS CIR |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336247048 | Charles Anthony Duer | Counselor | 333 Business Cir, Pelham, AL 35124-1778 | 2006-09-20 |
| 1508481698 | Taylor Sides | Nurse Practitioner | 333 Business Cir, Pelham, AL 35124-1778 | 2020-06-15 |
| 1275177040 | Munira R Porbanderwala | Nurse Practitioner | 333 Business Cir, Pelham, AL 35124-1778 | 2019-11-04 |
| 1487112876 | Mary Louise Chamberlain | Physician Assistant | 333 Business Cir, Pelham, AL 35124-1778 | 2019-03-05 |
| 1467919365 | Dianne Kelly Smith | Nurse Practitioner | 333 Business Cir, Pelham, AL 35124-1778 | 2019-02-27 |
| 1629547344 | Debra Maddox Hoosier | Social Worker | 333 Business Cir, Pelham, AL 35124-1778 | 2018-11-26 |
| 1104301357 | Shayna Naledi Moulton | Psychiatry & Neurology | 333 Business Cir, Pelham, AL 35124-1778 | 2018-10-03 |
| 1821413808 | Reshonda Cross | Counselor | 333 Business Cir, Pelham, AL 35124-1778 | 2014-02-27 |
| 1730357138 | Jay E Girard | Social Worker | 333 Business Cir, Pelham, AL 35124-1778 | 2008-02-19 |
| 1639358187 | Linda Carol Miner | Counselor | 333 Business Cir, Pelham, AL 35124-1778 | 2007-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304557 | Kristen Jane Betts | Nurse Practitioner | 300 Big Mountain Cir, Pelham, AL 35124-4102 | 2018-11-05 |
| 1104431568 | Wanda Allen | Nurse Practitioner | 2860 Landfill Rd, Pelham, GA 31779-5960 | 2020-09-12 |
| 1831725944 | Jessica Ann St Jean | Nurse Practitioner | 27 Spring St, Pelham, NH 03076-2826 | 2020-03-20 |
| 1467919365 | Dianne Kelly Smith | Nurse Practitioner | 333 Business Cir, Pelham, AL 35124-1778 | 2019-02-27 |
| 1083196026 | Alaina Shelton Contestabile | Nurse Practitioner | 2100 County Services Dr, Pelham, AL 35124-6150 | 2018-09-06 |
| 1144605866 | Haley Jost | Nurse Practitioner | 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124-1185 | 2015-07-23 |
| 1326285347 | Dennis Doss | Nurse Practitioner | 245 Cahaba Valley Pkwy, #110, Pelham, AL 35124-2216 | 2009-01-13 |
| 1134336423 | Lynne England | Nurse Practitioner | 33 Windham Rd, Pelham, NH 03076-2372 | 2007-05-17 |
| 1457463093 | Tracy Darlene Hardy | Nurse Practitioner | 49 Atwood Rd, Pelham, NH 03076-3719 | 2006-08-31 |
| 1962453043 | Jason Harris | Nurse Practitioner | 33 Windham Rd, Pelham, NH 03076-2372 | 2006-05-13 |
| Find all providers in PELHAM | ||||
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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.