MRS. STACY HARRIS (NPI# 1134356942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134356942 |
| Entity Type | Individual |
| Full Name | MRS. STACY HARRIS |
| Credential | A.P.N. |
| Practice Address |
525 Western Ave Ste 304 Conway AR 72034-4981 |
| Practice Telephone | 5013277555 |
| Practice Fax Number | 5013279466 |
| Mailing Telephone | 5013277555 |
| Mailing Fax Number | 5013279466 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A03027 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088757 | Stacy Harris | Home Health Aide | 900 S Arlington Ave Rm 144b, Harrisburg, PA 17109-5030 | 2020-03-18 |
| 1164990354 | Stacy Laughton Harris | Physical Therapist | Cambridge Hills Assisted Living, 5660 Durham Road, Roxboro, NC 27574 | 2018-11-06 |
| 1922475557 | Stacy Harris | Technician | 3459 Seabrook Ave, Columbus, OH 43227-3243 | 2015-08-31 |
| 1417297060 | Stacy Usher Harris | Registered Nurse | 200 Summit Pkwy, Columbia, SC 29229-9058 | 2013-02-19 |
| 1992065734 | Stacy Pearson Harris | Speech-Language Pathologist | 2830 16th St Ne Apt 138, Hickory, NC 28601-8611 | 2012-05-28 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1417165044 | Stacy N Harris | Counselor | 3535 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1200 | 2007-05-18 |
| 1710460910 | Stacy Harris | Social Worker | 259 Prospect St, Fall River, MA 02720-3415 | 2018-09-13 |
| 1770079261 | Stacy Harris | Counselor | 132 Commercial Dr, Forest City, NC 28043-2400 | 2018-07-08 |
| 1215434253 | Stacy Ann Harris | Nurse Practitioner | 14671 Telegraph Rd, Redford, MI 48239-3300 | 2018-04-06 |
| Street Address |
525 WESTERN AVE STE 304 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396230876 | Amy D Broyles | Nurse Practitioner | 525 Western Ave Ste 304, Conway, AR 72034-4981 | 2018-06-26 |
| 1942713987 | Conway Regional Medical Center, Inc | Clinic/Center | 525 Western Ave Ste 304, Conway, AR 72034-4981 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154669265 | Rachel M Collins | Nurse Practitioner | 2367b Cypress Cir, Conway, SC 29526-8921 | 2013-01-24 |
| 1649545302 | Casey Leigh Brock | Nurse Practitioner | 2200 Ada Ave, Ste 203, Conway, AR 72034-4985 | 2012-03-14 |
| 1871756395 | Lane Gray Wagnon | Nurse Practitioner | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2008-07-03 |
| 1942378823 | Gloria Ruth Cote | Nurse Practitioner | 298 White Mountain Hwy, Conway, NH 03818-4204 | 2006-12-01 |
| 1942378625 | Margaret Mary Riforgiato | Nurse Practitioner | 298 White Mountain Hwy, Conway, NH 03818-4204 | 2006-12-01 |
| 1184729717 | Cynthia Stevens Hasiuk | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
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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.