STACY NELSON (NPI# 1255684445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255684445 |
| Entity Type | Individual |
| Full Name | STACY NELSON |
| Credential | RN |
| Practice Address |
167 North Main Street Tuba City AZ 86045-0600 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832094 |
| Practice Fax Number | 9282832677 |
| Mailing Telephone | 9282832094 |
| Mailing Fax Number | 9282832677 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
141028-30 | WI | Nursing Service 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 |
| 1386994325 | Stacy K Nelson | Nurse Practitioner | 110 N 29th St, Suite 201, Norfolk, NE 68701-4424 | 2012-09-18 |
| 1124280771 | Stacy L Nelson | Physician Assistant | 300 W 27th St, Lumberton, NC 28359-1408 | 2008-06-25 |
| 1003034703 | Stacy M Nelson | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2007-04-20 |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
| 1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
| 1447736186 | Kenneth Hale | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2018-07-16 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
| 1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
| 1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
| 1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
| 1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356642003 | Callandra K Mike | Registered Nurse | 167 North Main St, Tuba City, AZ 86045-0600 | 2010-11-11 |
| 1013218932 | Jane A Jones | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045 | 2010-11-09 |
| 1932400876 | Catherine Ann Kimmel | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-11-09 |
| 1154622314 | Kristie Kewenvoyouma | Registered Nurse | 167 North Main St, Tuba City, AZ 86045 | 2010-11-04 |
| 1689974081 | Lynette Begay | Registered Nurse | 167 N. Main St., Tuba City, AZ 86045 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821968 | Mallory Leigh Ketterer | Registered Nurse | 7837 N Box Camp Pl, Tucson, AZ 85743-5545 | 2020-11-06 |
| 1578164034 | Terry Watson | Registered Nurse | 34171 N Chuckwalla Trl, Queen Creek, AZ 85142-6053 | 2020-11-02 |
| 1295332179 | Kimberly Rose Tokarski | Registered Nurse | 1314 S Burk St, Gilbert, AZ 85296-4022 | 2020-10-05 |
| 1912514878 | Lizy Windsor | Registered Nurse | 961 N Blackstone Ct, Chandler, AZ 85224-3462 | 2020-09-25 |
| 1477167864 | Paige Nichole Rezendes | Registered Nurse | 4842 N 185th Dr, Goodyear, AZ 85395-2691 | 2020-09-02 |
| 1598378994 | Marie Reina Andriopoulos | Registered Nurse | 7751 E Big Meadow Dr, Tucson, AZ 85756-6160 | 2020-08-25 |
| 1013529700 | Evelyn Long | Registered Nurse | 12500 E Roger Rd, Tucson, AZ 85749-8487 | 2020-08-23 |
| 1992317309 | Isabella Charway | Registered Nurse | 21268 E Maya Rd, Queen Creek, AZ 85142-5529 | 2020-08-18 |
| 1588276992 | Eric Smith | Registered Nurse | 3640 W Sunglade Dr, Tucson, AZ 85742-1134 | 2020-08-18 |
| 1013529353 | Carolyn Ames | Registered Nurse | 13310 N Plaza Del Rio Blvd Unit 3152, Peoria, AZ 85381-0022 | 2020-08-18 |
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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.