MRS. STACEY A BURT


Address: Staceyburt, 28 Iris Drive, Apalachin, NY 13732
Phone: 6078218739

MRS. STACEY A BURT (NPI# 1114202504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114202504
Entity Type Individual
Full Name MRS. STACEY A BURT
Other Name MRS. STACEY A RIDDLEBERGER
Credential RN
Practice Address Staceyburt
28 Iris Drive
Apalachin
NY 13732
Practice Telephone 6078218739
Mailing Telephone 6078218739
Enumeration Date 2011-10-17
Last Update Date 2019-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
402391-1 NY Nursing Service Providers
N 163WS0200X Registered Nurse
Specialization: School
402391-1 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 1115202504 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
435 Glenwood Rd, Binghamton, NY 139051606 6077633667

Office Location

Street Address STACEYBURT
28 IRIS DRIVE
City APALACHIN
State NY
Zip Code 13732

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750668810 Jennifer Lynn Berger Physical Therapist 23 W. Glann Road, Apalachin, NY 13732 2011-11-03
1346526746 Matthew Christopher Dupre Physical Therapy Assistant 23 West Glan Road, Apalachin, NY 13732 2011-10-30
1346524352 Anne Marie Murphy Speech-Language Pathologist 40-48 Glann Road, Apalachin, NY 13732 2011-10-10
1033363171 Kathleen White Physical Therapist G and E Therapies, 1977 Marshland Road, Apalachin, NY 13732 2008-11-14
1669626123 Kimberly M Mario Wiggins Occupational Therapist 1971 Marshland Rd, Apalachin, NY 13732 2008-11-11
1962625483 Kuiran Jiao Anesthesiology 23 Azalea Drive, Apalachin, NY 13732 2007-04-11
1578183984 Jaclyn Kisloski Speech-Language Pathologist 1951 Marshland Rd, Apalachin, NY 13732-1440 2020-04-26
1700936093 Michelle Ann Yahner Speech-Language Pathologist 1977 Marshland Rd, Apalachin, NY 13732-1440 2007-01-11
1609110220 G&e Therapies Early Intervention Provider Agency 1977 Marshland Rd, Apalachin, NY 13732-1440 2012-11-20
1235473224 Susan Hubbard Early Intervention Provider Agency 1977 Marshland Rd, Apalachin, NY 13732-1440 2012-11-15
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972909315 Maria Huddleston Registered Nurse 1096 Chestnut Ridge Rd, Apalachin, NY 13732-2020 2014-11-12
1174776579 Kerry Edward Mueller Registered Nurse 142 Wayside Ln, Apalachin, NY 13732-3609 2008-10-29

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NPI Name Taxonomy Address Enumeration
1871192575 Deni L Lobrutto Registered Nurse 80 Park Ln, Grand Island, NY 14072-3340 2020-10-22
1386243079 Melanie Yap Registered Nurse 5334 206th St, Oakland Gardens, NY 11364-1714 2020-10-22
1932707155 Nurselance Health LLC Registered Nurse 1044 E 105th St, Brooklyn, NY 11236-3002 2020-10-09
1487260063 Mei Ling Gilbert Registered Nurse 10 Woodside Ave, Elmsford, NY 10523-2810 2020-09-19
1164037180 Elizabeth Ann Primiano Registered Nurse 394 Ocean Ave, Massapequa, NY 11758-5228 2020-09-15
1508471236 Samantha Kate Saraceno Registered Nurse 107 Rumbold Ave, North Tonawanda, NY 14120-4623 2020-09-10
1831703826 Lateisha Freeman Registered Nurse 1 Cross Island Plz Ste 210, Rosedale, NY 11422-1456 2020-09-07
1891307658 Jessica Ruggiero Registered Nurse 59 Rose St, Hastings On Hudson, NY 10706-3410 2020-08-21
1245842053 Mary Reiner Registered Nurse 16 Harold St, Nanuet, NY 10954-3733 2020-08-21
1982221164 Rebecca Armbrust Registered Nurse 225 Hilltop Dr, Elma, NY 14059-9412 2020-07-03
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Competitor

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City APALACHIN
Zip Code 13732

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Dataset Information

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.

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