STACEY SMITH


Address: 400 W Mineral King Ave, Visalia, CA 93291-6237
Phone: 5596242000

STACEY SMITH (NPI# 1285255505) 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) 1285255505
Entity Type Individual
Full Name STACEY SMITH
Credential FNP-C
Practice Address 400 W Mineral King Ave
Visalia
CA 93291-6237
Mailing Address 143 E Elkhorn Ave
Visalia
CA 93277-9172
Practice Telephone 5596242000
Mailing Telephone 5567996944
Enumeration Date 2020-04-27
Last Update Date 2020-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95014391 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACEY SMITH

NPI Name Taxonomy Address Enumeration
1790385771 Stacey Smith Physical Therapy Assistant 24 Deer Run Rd, Little Egg Harbor Twp, NJ 08087-9722 2020-10-28
1205487139 Stacey C Smith Case Manager/Care Coordinator 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 2019-09-23
1356812994 Stacey Smith Doula 8711 Whitson Ct, Springfield, VA 22153-1268 2018-12-07
1871000745 Stacey Smith Counselor 8622 Winton Rd Ste A, Cincinnati, OH 45231-4823 2018-01-02
1992150411 Stacey Smith Community Health Worker 3042 Fitzgerald St, Jacksonville, FL 32254-3947 2016-05-03
1942664669 Stacey Smith Pharmacist 124845 Main St, Williston, SC 29853-2711 2016-04-08
1184085813 Stacey Smith Psychologist 2211 S Mill Ave, Tempe, AZ 85282-2115 2016-03-08
1881011716 Stacey Amanda Smith Pharmacist 4468 Eagle River Run, Broomfield, CO 80023-8753 2014-03-28
1164755765 Stacey V Smith Counselor 69 Mascot St, Dorchester Center, MA 02124-4130 2009-09-14
1831357185 Stacey Marie Smith Specialist/Technologist, Other 1816 N 155th St, Shoreline, WA 98133-6014 2008-05-22

Office Location

Street Address 400 W MINERAL KING AVE
City VISALIA
State CA
Zip Code 93291-6237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588663769 Kaweah Delta Health Care District General Acute Care Hospital 400 W Mineral King Ave, Visalia, CA 93291-6237 2005-07-19
1831703602 Elizabeth Emily Swanson Nurse Anesthetist, Certified Registered 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-08-31
1619589512 Oak Creek Anesthesia Services, Inc. Anesthesiology 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-08-21
1265044283 Leanne Frances Sapad-trevino Dietitian, Registered 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-08-20
1760093611 Melanie Anne Logue Dietitian, Registered 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-08-13
1396354510 Christian Panaligan Nurse Anesthetist, Certified Registered 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-07-23
1043828130 Mary Jane Tran Pharmacist 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-07-15
1073138608 Amari Medical Corp Family Medicine 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-06-09
1437772423 Kyle Webster Physician Assistant 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-05-25
1023637212 Jaclyn N Lundberg Student in an Organized Health Care Education/Training Program 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255964854 Stephanie Janae Ybarra Orthotist 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 2020-02-21
1689223067 Patricia Mari Marquez Technician 32481 Road 127, Visalia, CA 93291 2019-09-09
1942767710 Jeremy Clifton Mccallister Counselor 120 W. School Ave., Visalia, CA 93291 2019-02-27
1568975290 Kaweah Delta Health Care District Clinic/Center 3600 Flagstaff Avenue, Visalia, CA 93291 2017-11-16
1932625308 Christina Gonzalez Counselor New Hope, 212 N. Stevenson, Visalia, CA 93291 2017-08-17
1629598545 Estherose Molina Assistant Behavior Analyst 5445 W. Sweet Drive, Visalia, CA 93291 2017-06-21
1487195988 Brenda Rodriguez Case Manager/Care Coordinator 546 East Tulare Ave, Visalia, CA 93291 2017-03-16
1295181857 David James Tsuneji Fujihara Emergency Medicine 400 W. Mineral King Ave, Visalia, CA 93291 2016-05-12
1326409343 Bay Area Surgical Specialists, Inc A Medical Corporation Pain Medicine 5127 W Noble Ave, Visalia, CA 93291 2016-03-18
1932585700 Charles Dominick Trentacosti Occupational Therapy Assistant 514 N Bridge St, Visalia, CA 93291 2015-08-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952934747 Clarissa Alvarado Nurse Practitioner 128 N Akers St Ste C, Visalia, CA 93291-5121 2020-02-19
1699324798 E Sun Saesee Nurse Practitioner 4826 W Elkhorn Ave, Visalia, CA 93277-0617 2019-09-10
1235794173 Sheilanie Casabay Nurse Practitioner 5410 W Cypress Ave Ste 102, Visalia, CA 93277-8343 2019-05-07
1396227427 Cathy Lynn Eckert Juarez Nurse Practitioner 820 S Akers St Ste 100, Visalia, CA 93277-8306 2018-09-05
1811477987 Taralyn Liebel Nurse Practitioner 2623 W Prescott Ave, Visalia, CA 93291-8111 2018-08-17
1821596974 Padma Ganesh Nayak Nurse Practitioner 171 N Lindsay St, Visalia, CA 93291-9661 2018-01-24
1437666567 Diana Caudillo Nurse Practitioner 3935 S San Joaquin St, Visalia, CA 93277-3446 2018-01-10
1578074035 Yan Jiang Nurse Practitioner 1633 S Court Stress, Visalia, CA 93277 2017-10-23
1831559848 Carla Michelle Aldaco Nurse Practitioner 13516 Perry Dr, Visalia, CA 93292-9348 2016-03-03
1306248703 So Yun Ahn Nurse Practitioner 627 S Garden St Apt C, Visalia, CA 93277-2851 2014-09-17
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Competitor

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City VISALIA
Zip Code 93291

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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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