STACY L DIPERNA (NPI# 1114103215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114103215 |
| Entity Type | Individual |
| Full Name | STACY L DIPERNA |
| Credential | NP |
| Practice Address |
25 June St Sanford ME 04073-2621 |
| Practice Telephone | 2073244310 |
| Practice Fax Number | 2073244310 |
| Mailing Telephone | 2073244310 |
| Mailing Fax Number | 2073244310 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2013-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R053665 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25 JUNE ST |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609852086 | Steven Petrin | Nurse Practitioner | 25 June St, Sanford, ME 04073-2621 | 2005-12-19 |
| 1942625389 | Bridget Amanda Babcock | Nurse Practitioner | 25 June St, Behavioral Health Unit, Sanford, ME 04047 | 2014-02-21 |
| 1811289168 | Jessica Louise Peck | Emergency Medicine | 25 June St, Sanford, ME 04073-2621 | 2011-05-04 |
| 1003124348 | Sarah D. Shepherd | Neuromusculoskeletal Medicine & OMM | 25 June St, Sanford, ME 04073-2621 | 2010-09-21 |
| 1700192259 | Sandeep Reddy | Internal Medicine | 25 June St, Sanford, ME 04073-2621 | 2010-08-23 |
| 1760613129 | Lindsey D Sprague | Physician Assistant | 25 June St, Sanford, ME 04073-2621 | 2009-08-04 |
| 1487898912 | H. D. Goodall Hospital, Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 1730323262 | H. D. Goodall Hospital Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 1144475781 | Nicole A Brzezinski | Physician Assistant | 25 June St, Sanford, ME 04073-2621 | 2008-11-24 |
| 1548422819 | Scott Hamilton | Emergency Medicine | 25 June St, Sanford, ME 04073-2621 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508412511 | Jessica Rakes Heyse | Nurse Practitioner | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791464 | Margaret Marlette Hamilton | Nurse Practitioner | 121 Medical Center Dr Ste 2550, Brunswick, ME 04011-2681 | 2019-10-10 |
| 1043786551 | Lindsey Forleo | Nurse Practitioner | 22 Bramhall St Rm 4670, Portland, ME 04102-3134 | 2018-10-23 |
| 1346618394 | Clarissa Michalak | Nurse Practitioner | 31 Shady Run Ln, Cumberland, ME 04021-3818 | 2015-09-08 |
| 1265816961 | Jill Ann Vaughn | Nurse Practitioner | Husson University Wellness Center, 1 College Circle, Bangor, ME 04401 | 2015-07-13 |
| 1407455793 | Stephen John Cihocki | Nurse Practitioner | 1600b Congress St, Portland, ME 04102 | 2020-10-19 |
| 1700359544 | Marcello Romeo | Nurse Practitioner | 300 Main St, Lewiston, ME 04240-7027 | 2019-01-04 |
| 1457850968 | Jenee R Wechsler | Nurse Practitioner | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2018-02-10 |
| 1821503129 | Clancy Erickson | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-12-08 |
| 1932610599 | Andrea Wyman | Nurse Practitioner | 818 Congress St, Portland, ME 04102-3112 | 2017-10-22 |
| 1750800512 | Elizabeth Claire Scott | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STACY L DIPERNA.
| 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.