STACEY WILLIAMS (NPI# 1184153827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184153827 |
Entity Type | Individual |
Full Name | STACEY WILLIAMS |
Credential | RN |
Practice Address |
4747 W 24th Ave Gary IN 46406-2821 |
Practice Telephone | 2192408615 |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
28235642A | IN | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699234393 | Stacey Lyn Williams | Nurse Practitioner | 1122 Gypsy Ln W, Towson, MD 21286-1404 | 2019-03-13 |
1083187306 | Stacey Lynn Williams | Developmental Therapist | 1822 Oak Park Ave, Berwyn, IL 60402-1708 | 2019-01-09 |
1629547385 | Stacey E Williams | Contractor | 2801 Montecito Dr, Denton, TX 76205-8510 | 2018-11-24 |
1073809489 | Stacey Williams | Doula | 852 North 2350 West, Provo, UT 84601 | 2011-06-23 |
1740512342 | Stacey Williams | Doula | 6212 29th Ave Ne, Seattle, WA 98115-7204 | 2010-02-05 |
1053426122 | Stacey Miller Williams | Social Worker | 3020 Pickett Rd, Suite 143, Durham, NC 27705-6000 | 2006-08-20 |
1811955768 | Stacey H Williams | Physical Therapy Assistant | 2305 Aaron St, Genesis Rehab Services River Commons, Port Charlotte, FL 33952-5346 | 2006-05-02 |
1790395630 | Stacey S Williams | Case Manager/Care Coordinator | 12305 Arlington Ave, Cleveland, OH 44108-2359 | 2020-08-05 |
1487215091 | Stacey Williams | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-06-25 |
1568028835 | Stacey Lynn Williams | Nurse Practitioner | 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250-3235 | 2019-05-13 |
Street Address |
4747 W 24TH AVE |
City | GARY |
State | IN |
Zip Code | 46406-2821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184757320 | Middle Passage, Incorporated | Community/Behavioral Health | 4747 W 24th Ave, Gary, IN 46406-2821 | 2007-03-14 |
1265049845 | Rebecca Soboleski | Peer Specialist | 4747 W 24th Ave, Gary, IN 46406-2821 | 2020-09-28 |
1982213468 | Iris Jeffries | Technician | 4747 W 24th Ave, Gary, IN 46406-2821 | 2020-07-30 |
1194384073 | Khaliah Amani Herbert | Technician, Health Information | 4747 W 24th Ave, Gary, IN 46406-2821 | 2019-06-13 |
1235695206 | Sharon Maggie Kelly | Community Based Residential Treatment Facility, Mental Illness | 4747 W 24th Ave, Gary, IN 46406-2821 | 2019-02-14 |
1033697032 | Ladonna Lucille Bell | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2018-08-01 |
1154819597 | Zakia Brodnax | Technician, Health Information | 4747 W 24th Ave, Gary, IN 46406-2821 | 2018-05-01 |
1205373347 | Terronda Hurn | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2017-01-27 |
1588036974 | Demia Chandler | Nurse's Aide | 4747 W 24th Ave, Gary, IN 46406-2821 | 2015-10-24 |
1871965384 | Danielle Elizabeth Carter | Licensed Practical Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2015-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134380009 | Aspire Academy | Local Education Agency (LEA) | 4900 W 15th Ave, Gary, IN 46406 | 2008-06-23 |
1821118589 | Comprehensive Physical Therapy | Physical Therapist | 7501 W. 15th Ave, Gary, IN 46406 | 2007-03-29 |
1205973336 | Comprehensive Therapy, Inc. | Physical Therapist | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
1588603286 | Bryan Michael Buksar | Physical Therapist | 7101 West 17th Avenue, Gary, IN 46406 | 2006-06-06 |
1285753103 | Comprehensive Care | Preventive Medicine | 7501 W. 15th Ave., Gary, IN 46406 | 2007-03-29 |
1891832929 | Michael Foreit | General Practice | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
1740327873 | Frank Messana | General Practice | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
1760651863 | Tolanda Somerville | Speech-Language Pathologist | 5901 W 7th Ave, Gary, IN 46406-1311 | 2008-02-22 |
1598934697 | Lisa Previs | Developmental Therapist | 5901 W 7th Ave, Gary, IN 46406-1311 | 2008-02-22 |
1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
Find all providers in zip 46406 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740727148 | Hope Nalls | Registered Nurse | 1100 W 6th Ave, Gary, IN 46402-1711 | 2017-01-23 |
1518090554 | Dwayne Warren Mueller | Registered Nurse | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477170157 | Peony Health Services | Registered Nurse | 438 S Emerson Ave Ste 164, Greenwood, IN 46143-1948 | 2020-06-29 |
1629690516 | Lisa Chubb | Registered Nurse | 10 Cool Creek Cir, Carmel, IN 46033-9444 | 2020-05-13 |
1811538846 | Kitra Corder | Registered Nurse | 1040 E 86th St Ste 46h, Indianapolis, IN 46240-1857 | 2019-10-01 |
1205483104 | Tibbett Jeanne Smith | Registered Nurse | 5316 Edinburgh Ct, Lafayette, IN 47905-7587 | 2019-08-25 |
1639448665 | Joan Suding | Registered Nurse | 12163 St Peters Road, Brookville, IN 47012 | 2011-12-20 |
1376981480 | Mayola Lara Villarruel | Registered Nurse | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2013-06-11 |
1720387921 | Robert A Maines | Registered Nurse | 1013 N 13th St, Lafayette, IN 47904-2011 | 2011-03-28 |
1720308430 | Shahlini Kay Mckinley | Registered Nurse | 3749 Commercial Dr, Indianapolis, IN 46222-1676 | 2010-06-03 |
1326276056 | Laura Ann Archer | Registered Nurse | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2009-07-01 |
1083882575 | Kimberly Sue Zipper | Registered Nurse | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-02-19 |
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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.