STACY L NELSON (NPI# 1124280771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124280771 |
| Entity Type | Individual |
| Full Name | STACY L NELSON |
| Credential | PA-C |
| Practice Address |
300 W 27th St Lumberton NC 28359-1408 |
| Mailing Address |
361 Somerset Dr Raeford NC 28376-5437 |
| Practice Telephone | 9106715345 |
| Mailing Telephone | 2183404779 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2009-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001001383 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235541210 | Stacy Nelson | Speech-Language Pathologist | 925 W Huron St Apt 416, Chicago, IL 60642-5989 | 2014-05-27 |
| 1861640385 | Stacy Nelson | Occupational Therapist | 2428 Canyon Lake Dr, Rapid City, SD 57702-2402 | 2008-09-09 |
| 1962510222 | Stacy D Nelson | Nurse Practitioner | 701 Superior Ave Ste O, Munster, IN 46321-4038 | 2006-08-28 |
| 1154921005 | Stacy Nelson | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-10-29 |
| 1821535162 | Stacy Lynn Nelson | Counselor | 2501 N Green Valley Pkwy Ste 116, Henderson, NV 89014-2158 | 2017-01-25 |
| 1689027583 | Stacy Nelson | Dietitian, Registered | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2016-07-15 |
| 1699011825 | Stacy Nelson | Nurse Practitioner | 5206 Research Dr, San Antonio, TX 78240 | 2012-12-16 |
| 1255684445 | Stacy Nelson | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-10-25 |
| 1386994325 | Stacy K Nelson | Nurse Practitioner | 110 N 29th St, Suite 201, Norfolk, NE 68701-4424 | 2012-09-18 |
| 1003034703 | Stacy M Nelson | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2007-04-20 |
| Street Address |
300 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28359-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1215536610 | Grant Hoffman Joerger | Nurse Anesthetist, Certified Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-19 |
| 1134726797 | Giulia Maria Oliva | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-07 |
| 1952917742 | Jennifer Renee Owen | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-09-17 |
| 1992328199 | Kristyn Nicole Flynn | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-21 |
| 1619590130 | Gregory Nathaniel Griffin | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1588287023 | Laura Christine James | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1932721735 | Jacob Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-14 |
| 1891317871 | Michael David-phillip Harris | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
| 1912529900 | Renaud Srivatsav Komandur | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609825710 | Southeastern Pathology Associates Pa | Clinical Medical Laboratory | 300 W 27th Street, Lumberton, NC 28359 | 2006-05-08 |
| 1508253162 | Daniel Schroder | Emergency Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-04-22 |
| 1245627736 | Jordana Ruffner | Emergency Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-04-22 |
| 1083001986 | Erin Broderick | Emergency Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-04-20 |
| 1427445360 | Southeastern Regional Medical Center | General Acute Care Hospital | 300 West 27th Street, Lumberton, NC 28359 | 2015-04-17 |
| 1700271046 | Byron Ingram | Internal Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-04-03 |
| 1760876080 | Andrew Buchan | Internal Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-03-25 |
| 1124412440 | Joshua Ruiz | Internal Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-03-25 |
| 1154715878 | Danielle Eagan | Internal Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-03-19 |
| 1396139028 | Lina Qazi | Family Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-03-19 |
| Find all providers in zip 28359 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1265821995 | Randal Mclean | Physician Assistant | 5080 Kahn Dr, Lumberton, NC 28358-2302 | 2015-01-19 |
| 1366831067 | Jordan Michael Andrews | Physician Assistant | 4843 Pinedale Blvd, Lumberton, NC 28358-2101 | 2015-01-19 |
| 1174740138 | Clyde A Epps | Physician Assistant | 450 Country Club Road, Lumberton, NC 28360-9494 | 2007-04-19 |
| 1932278876 | Charles Edwin Huggins | Physician Assistant | 209 W 27th St, Lumberton, NC 28358-3016 | 2006-11-07 |
| 1992795041 | Crystal Edwards | Physician Assistant | 4390 Fayetteville Rd, Lumberton, NC 28358-2677 | 2005-10-28 |
| 1982697355 | Arbus E. Locklear Jr. | Physician Assistant | 309 N Roberts Ave, Lumberton, NC 28358-5383 | 2005-08-31 |
| 1699305060 | Jacklynn Lindsey Hunt | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2020-01-24 |
| 1972143717 | Vasiliki Lambropoulos | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-01-09 |
| 1679115547 | Jayci Harrison | Physician Assistant | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2019-10-12 |
| Find all providers in LUMBERTON | ||||
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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.