STACY CONNELLY (NPI# 1093322596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093322596 |
| Entity Type | Individual |
| Full Name | STACY CONNELLY |
| Credential | RN, IBCLC |
| Practice Address |
4320 Seminary Rd Alexandria VA 22304-1535 |
| Mailing Address |
4924 25th St S Arlington VA 22206-1051 |
| Practice Telephone | 7035047867 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
R174110 | MD | Nursing Service Providers |
| Street Address |
4320 SEMINARY RD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643849 | Tanuja A Mainkar | Anesthesiology | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2005-07-18 |
| 1134720063 | Zaracel Labuga | Nurse Practitioner | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2020-11-06 |
| 1720689862 | Joysline Chia | Nurse Practitioner | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2020-11-05 |
| 1972114874 | Angela Jones | Nurse Practitioner | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2020-08-13 |
| 1649803586 | Kajsa Michelle Pyers | Nurse Practitioner | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2020-02-19 |
| 1356974570 | Chad Toughill | Nurse Anesthetist, Certified Registered | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2020-02-17 |
| 1649815671 | John W Dunkle, Md Plc | Family Medicine | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2019-11-13 |
| 1184274276 | Nida Chaudhry | Physician Assistant | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2019-09-19 |
| 1326698044 | Erdenemandakh Dorjrenchin | Licensed Practical Nurse | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2019-09-14 |
| 1154988921 | Daniel Emery | Registered Nurse | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328778 | Michele Goergen | Registered Nurse | 603 6th Ave E, Alexandria, MN 56308-1932 | 2018-09-03 |
| 1346669785 | Amy Bourne | Registered Nurse | 8233 Doctor Craik Ct, Alexandria, VA 22306-3275 | 2014-04-14 |
| 1477017861 | Ashley Halcomb Thomas | Registered Nurse | 37 Calvert Dr, Alexandria, LA 71303-3520 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687874 | Leah M Tribus | Registered Nurse | 1236 Windswept Cir, Chesapeake, VA 23320-5010 | 2020-10-20 |
| 1417562505 | Belma Skaljic | Registered Nurse | 8370 Greensboro Dr Unit 314, Mc Lean, VA 22102-3516 | 2020-09-15 |
| 1669085585 | Jennifer Clare Defranco | Registered Nurse | 4475 Corral Rd, Warrenton, VA 20187-5820 | 2020-08-29 |
| 1972126142 | Amy Fay Alliston | Registered Nurse | 308b S Main St Ste 221, Farmville, VA 23901-1744 | 2020-05-22 |
| 1770114068 | Heather Smith | Registered Nurse | 1398 New Hope Rd, Staunton, VA 24401-9262 | 2020-01-27 |
| 1740829506 | Kendra Danielle Carroll | Registered Nurse | 3424 Ashmeade Dr, Roanoke, VA 24018-3702 | 2019-12-27 |
| 1245882802 | Brenda Lee Knighton | Registered Nurse | 12928 Crews Ct, Bristow, VA 20136-3112 | 2019-07-14 |
| 1467011510 | Amy Taylor | Registered Nurse | 4176 S Plaza Trl Ste 217, Virginia Beach, VA 23452-1920 | 2019-06-12 |
| 1679036883 | Alison Grace Stamper Levy | Registered Nurse | 2001 N Upton St, Arlington, VA 22207-2326 | 2019-04-14 |
| 1518426816 | Emily Bender | Registered Nurse | 4781 Back Mountain Rd, Winchester, VA 22602-3462 | 2019-03-16 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.