STACEY DEANN CLARK (NPI# 1134686124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134686124 |
| Entity Type | Individual |
| Full Name | STACEY DEANN CLARK |
| Practice Address |
1400 Barron Ln Axtell TX 76624-1394 |
| Practice Telephone | 7702558982 |
| Mailing Telephone | 7702558982 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 347556 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235624602 | Stacey Lynn Clark | Registered Nurse | 9709 Lincoln Hwy, Bedford, PA 15522 | 2018-06-27 |
| 1881192581 | Stacey Clark | Speech-Language Pathologist | 6301 Gaston Ave Ste 750, Dallas, TX 75214-3922 | 2018-01-28 |
| 1144607797 | Stacey Clark | Social Worker | 9040 Jackson Ave, Tacoma, WA 98431-1332 | 2015-05-04 |
| 1013170869 | Stacey K Clark | Emergency Medicine | 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 | 2008-07-02 |
| 1184808511 | Stacey Leigh Clark | Otolaryngology | 3705 Medical Pkwy, Suite 200, Austin, TX 78705-1019 | 2007-12-20 |
| 1699891580 | Stacey Ann Clark | Chiropractor | 11 Hill St, Lyndonville, VT 05851-8911 | 2007-03-22 |
| 1457481897 | Stacey Leigh Clark | Pharmacist | 303 Green St E, Wilson, NC 27893-4105 | 2007-03-06 |
| 1306905484 | Stacey L Clark | Counselor | 493 Westfield Rd, B, Noblesville, IN 46060-1327 | 2006-12-06 |
| 1528098712 | Stacey Ellen Clark | Nurse Practitioner | 414 E Main St, Durham, NC 27701-3720 | 2006-07-03 |
| 1285606574 | Stacey Ann Clark | Pediatrics | 1447 Medical Park Blvd, #402, Wellington, FL 33414 | 2006-02-02 |
| Street Address |
1400 BARRON LN |
| City | AXTELL |
| State | TX |
| Zip Code | 76624-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720567639 | Rhonda Denell Moffett | Registered Nurse | 141 North 9th Street, Axtell, TX 76624 | 2018-08-10 |
| 1114498060 | Amber Michelle Tindell | Registered Nurse | 285 Fuller Rd, Axtell, TX 76624-1204 | 2018-12-17 |
| 1629296215 | Darlene Louise Logan | Specialist | 2897 Highway 31, Axtell, TX 76624-1208 | 2007-04-22 |
| 1164023586 | Melanie Nicole Butcher | Registered Nurse | 617 Cavin Ln, Axtell, TX 76624-1280 | 2020-11-03 |
| 1477842276 | Axtell Isd | Local Education Agency (LEA) | 308 Ottawa, Axtell, TX 76624-1453 | 2011-04-01 |
| 1396384236 | Shelby Brianne Harriman | Physical Therapy Assistant | 493 Retreat Center Rd, Axtell, TX 76624-1576 | 2019-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023586 | Melanie Nicole Butcher | Registered Nurse | 617 Cavin Ln, Axtell, TX 76624-1280 | 2020-11-03 |
| 1932714813 | Mosiac | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1044 23 Rd, Axtell, NE 68924-3679 | 2020-09-09 |
| 1164031985 | Rebecca Violet Hubbard | Registered Nurse | 506 A Ave, Axtell, NE 68924-3414 | 2020-07-28 |
| 1396384236 | Shelby Brianne Harriman | Physical Therapy Assistant | 493 Retreat Center Rd, Axtell, TX 76624-1576 | 2019-12-23 |
| 1114498060 | Amber Michelle Tindell | Registered Nurse | 285 Fuller Rd, Axtell, TX 76624-1204 | 2018-12-17 |
| 1720567639 | Rhonda Denell Moffett | Registered Nurse | 141 North 9th Street, Axtell, TX 76624 | 2018-08-10 |
| 1346753696 | Lucas J Houchin | Behavioral Analyst | 203 E 5th St, Axtell, NE 68924-3418 | 2017-11-08 |
| 1073961785 | Jennifer Marshall | Speech-Language Pathologist | 1 Pheasant Run, Axtell, NE 68924-3680 | 2016-06-03 |
| 1366873192 | Bethany Sue Perry | Speech-Language Pathologist | 606 Pine St, Axtell, KS 66403-9617 | 2013-12-04 |
| 1477842276 | Axtell Isd | Local Education Agency (LEA) | 308 Ottawa, Axtell, TX 76624-1453 | 2011-04-01 |
| Find all providers in AXTELL | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| 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.