STACEY KESTERSON (NPI# 1073594263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073594263 |
| Entity Type | Individual |
| Full Name | STACEY KESTERSON |
| Credential | RNC MSN |
| Practice Address |
1621 W Morris Blvd Ste A Morristown TN 37813-2967 |
| Mailing Address |
525 Mcfarland St Morristown TN 37814-3975 |
| Practice Telephone | 4234927100 |
| Practice Fax Number | 4234928801 |
| Mailing Telephone | 4235866629 |
| Mailing Fax Number | 4235862146 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
96945 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3349271 | 05 |
| Street Address |
1621 W MORRIS BLVD STE A |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114113628 | Devon D. Smith, Md | Internal Medicine | 1621 W Morris Blvd Ste A, Morristown, TN 37813-2967 | 2007-09-18 |
| 1952370587 | Devon D. Smith | Emergency Medicine | 1621 W Morris Blvd Ste A, Morristown, TN 37813 | 2006-03-16 |
| 1770554578 | Kim Cheree Brooks | Obstetrics & Gynecology | 1621 W Morris Blvd Ste A, Morristown, TN 37813-2967 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164465522 | Nicole L Sandifer | Nurse Practitioner | 619 W 7th North St, Ste. F, Morristown, TN 37814-3954 | 2006-06-14 |
| 1558512293 | Sharon Jean Puchalski | Nurse Practitioner | 111 Madison Ave, Suite 308, Morristown, NJ 07960-6097 | 2008-09-30 |
| 1588827521 | Lynda Helen Sheppard | Nurse Practitioner | 101 Madison Ave, Suite 403, Morristown, NJ 07960-7357 | 2008-07-09 |
| 1649220187 | Jenny W Lee | Nurse Practitioner | 196 Speedwell Ave, Morristown, NJ 07960-2934 | 2006-05-12 |
| 1972584951 | Pamela Jane Holt | Nurse Practitioner | 609 Mcfarland St, Morristown, TN 37814-3976 | 2005-11-08 |
| 1235110487 | Julianne Misenheimer | Nurse Practitioner | 609 Mcfarland St, Morristown, TN 37814-3976 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310446 | Dana Laney | Nurse Practitioner | 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 | 2017-07-26 |
| 1871978213 | Sarah Elizabeth Hatcher | Nurse Practitioner | 2011 Murphy Ave Ste 200, Nashville, TN 37203 | 2015-07-28 |
| 1750766382 | Emily Shaye Fitzpatrick | Nurse Practitioner | 420 College St, Lafayette, TN 37083-1750 | 2015-07-24 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1306146360 | Anna R Huskey | Nurse Practitioner | 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 | 2010-10-25 |
| 1730310228 | Harmony Family Health Care, LLC | Nurse Practitioner | 3401 John Mallette Dr, Nashville, TN 37218-2672 | 2009-07-31 |
| 1699811497 | Kelly Pfrommer | Nurse Practitioner | 6215 Humphreys Blvd Ste 401, Memphis, TN 38120-2382 | 2007-01-29 |
| 1609879592 | Samantha S Moody | Nurse Practitioner | 2215 Jackson Downs Blvd, Nashville, TN 37214-2300 | 2005-05-24 |
| 1013522903 | Caroline Peacock | Nurse Practitioner | 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167-6832 | 2020-09-09 |
| 1316479678 | Andrea N Hensley | Nurse Practitioner | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
Please comment or provide details below to improve the information on STACEY KESTERSON.
| 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.