STACEY WILLIAMS


Address: 4747 W 24th Ave, Gary, IN 46406-2821
Phone: 2192408615

STACEY WILLIAMS (NPI# 1184153827) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
28235642A IN Nursing Service Providers

Other Providers STACEY WILLIAMS

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

Office Location

Street Address 4747 W 24TH AVE
City GARY
State IN
Zip Code 46406-2821

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City GARY
Zip Code 46406

Improve Information

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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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