STACY NELSON


Address: 167 North Main Street, Tuba City, AZ 86045-0600
Phone: 9282832094

STACY NELSON (NPI# 1255684445) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
141028-30 WI Nursing Service Providers

Other Providers STACY NELSON

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

Office Location

Street Address 167 NORTH MAIN STREET
City TUBA CITY
State AZ
Zip Code 86045-0600

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City TUBA CITY
Zip Code 86045

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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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