STACIE LYNN EDWARDS (NPI# 1376993576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376993576 |
| Entity Type | Individual |
| Full Name | STACIE LYNN EDWARDS |
| Practice Address |
4520 Intelco Loop Se Ste 3a Lacey WA 98503-6008 |
| Mailing Address |
Po Box 248 Tenino WA 98589-0248 |
| Practice Telephone | 3607916565 |
| Mailing Telephone | 3607916565 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4520 INTELCO LOOP SE STE 3A |
| City | LACEY |
| State | WA |
| Zip Code | 98503-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1508475435 | Christina Lufkin | Massage Therapist | 1607 Dogwood St Se, Lacey, WA 98503-2742 | 2020-07-27 |
| 1447801253 | Hawk P Mason | Massage Therapist | 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516-4754 | 2019-09-23 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1366931057 | Megan M Cronn | Massage Therapist | 6525 3rd Way Se, Lacey, WA 98503-7932 | 2018-05-08 |
| 1659895449 | Kayla Lord | Massage Therapist | 5750 Ruddell Rd Se Ste B, Lacey, WA 98503-5100 | 2017-08-02 |
| 1518493055 | Nearing Total Health, Pllc | Massage Therapist | 4520 Intelco Loop Se Bldg 3, Lacey, WA 98503-6008 | 2017-05-03 |
| 1720539281 | Keveyonna Davis | Massage Therapist | 677 Woodland Square Loop Se Ste A8, Lacey, WA 98503-1000 | 2016-10-19 |
| 1710432620 | Owen Wise | Massage Therapist | 8730 Tallon Ln Ne Ste 104, Lacey, WA 98516-6609 | 2016-08-20 |
| 1548615883 | Naomi0 Wheeler | Massage Therapist | 3006 Brentwood Dr Se, Lacey, WA 98503-3727 | 2016-04-24 |
| Find all providers in LACEY | ||||
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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.