STACY OWENS (NPI# 1073985511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073985511 |
| Entity Type | Individual |
| Full Name | STACY OWENS |
| Other Name | STACY CRAWFORD |
| Credential | LPN |
| Practice Address |
2920 Veterans Memorial Dr Mount Vernon IL 62864-5924 |
| Mailing Address |
Po Box 155 Christopher IL 62822-0155 |
| Practice Telephone | 6182446544 |
| Mailing Telephone | 6187242401 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043082639 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972016590 | Stacy Jehan Owens | Specialist | 7505 Us Highway 64 Ste 105, Memphis, TN 38133-8939 | 2017-11-06 |
| 1831269521 | Stacy Jo Owens | Nurse Practitioner | 3525 S National Ave Ste 207, Springfield, MO 65807-7315 | 2006-11-09 |
| Street Address |
2920 VETERANS MEMORIAL DR |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326093493 | Sandra Tate | Nurse Practitioner | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2006-05-24 |
| 1154965218 | Stacy Withrow | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-11-01 |
| 1003467341 | Erica Renee Escue | Physician Assistant | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-09-27 |
| 1629536685 | Tiffany L Alms | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-03-08 |
| 1760940720 | Melissa Havrilka | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2019-03-08 |
| 1346719630 | Amanda Ratcliff | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-11-16 |
| 1548738057 | Amanda Lynn Hays | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-11-02 |
| 1184125874 | Naomi D Easley | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-02-27 |
| 1558869412 | Bonnie Smith | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-01-25 |
| 1700304847 | Elesha Wilson | Licensed Practical Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947867 | Ruth Okwaji | Licensed Practical Nurse | 624 Hanover Pl, Mount Vernon, NY 10552-3807 | 2020-09-18 |
| 1861007205 | Michelle M Robinson | Licensed Practical Nurse | 151 E Prospect Ave Apt 3f, Mount Vernon, NY 10550-2232 | 2020-09-12 |
| 1891303707 | Kahlia Hylton | Licensed Practical Nurse | 120 W Kingsbridge Rd, Mount Vernon, NY 10550-4817 | 2020-07-16 |
| 1487274809 | Suzette P Forbes | Licensed Practical Nurse | 300 E Prospect Ave Apt 2b, Mount Vernon, NY 10553-1025 | 2020-04-27 |
| 1235761388 | Anika Nelson | Licensed Practical Nurse | 420 S 9th Ave, Mount Vernon, NY 10550-4302 | 2020-02-06 |
| 1467099713 | Lemar Anthony Gordon | Licensed Practical Nurse | 41 S Bleeker St Apt 1, Mount Vernon, NY 10550-2629 | 2019-12-05 |
| 1295389807 | Chanell Toni Smith | Licensed Practical Nurse | 64 Sycamore Ave, Mount Vernon, NY 10553-1216 | 2019-07-31 |
| 1528610219 | Montrice Pitter | Licensed Practical Nurse | 2 S Macquesten Pkwy, Mount Vernon, NY 10550-1731 | 2019-07-12 |
| 1881257335 | Shanya Bennett | Licensed Practical Nurse | 205 S Columbus Ave Apt C4, Mount Vernon, NY 10553-1531 | 2019-04-19 |
| 1285191098 | Kimberlin Hunt | Licensed Practical Nurse | 431 Homestead Ave Fl 2, Mount Vernon, NY 10553-1912 | 2019-02-28 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.