STACY HANSEN (NPI# 1386293546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386293546 |
| Entity Type | Individual |
| Full Name | STACY HANSEN |
| Practice Address |
620 Gallatin Pike S Madison TN 37115-4013 |
| Practice Telephone | 6154604300 |
| Mailing Telephone | 6154604300 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306124557 | Stacy Jo Hansen | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-7848 | 2011-07-21 |
| 1407008402 | Stacy Hansen | Physical Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2008-10-21 |
| Street Address |
620 GALLATIN PIKE S |
| City | MADISON |
| State | TN |
| Zip Code | 37115-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316926553 | Sue St Clair | Nurse Practitioner | 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 | 2006-01-16 |
| 1356960124 | Victoria Ann Fung-a-fat | Pharmacist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-04-13 |
| 1962035915 | Olga Olivia Stanfill | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-02-18 |
| 1669010286 | Jennifer Janel Gardner | Licensed Practical Nurse | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-12-13 |
| 1619511417 | Andrea Santa Maria | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-11-05 |
| 1871135921 | Jordann Moore | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-10-10 |
| 1528617255 | Melba Buchanan | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-09-05 |
| 1225686850 | Amy Jo Doiel | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-08-27 |
| 1023676624 | Ann Larose | Specialist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-05-30 |
| 1770146433 | Heather Sullivan | Case Management | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1033760905 | Ruth Ann North | Technician | 6202 Lewis St, Madison, OH 44057-2135 | 2019-09-23 |
| 1255982393 | Mamie Lee Sanders | Technician | 287 Zierdt Rd, Madison, AL 35756-8276 | 2019-09-20 |
| 1558919001 | Lina Elizabeth Raley | Technician | 115 French Br, Madison, MS 39110-8172 | 2019-08-28 |
| 1851948756 | Pamela Jean Wittig | Technician | 6 Fiskdale Cir, Madison, WI 53717-1022 | 2019-08-25 |
| 1891340766 | Sabrina Williams | Technician | 105 Brigadoon Dr, Madison, AL 35757-8734 | 2019-08-07 |
| 1700805793 | Lori Ann Nicholson | Technician | 2585 Hubbard Rd, Madison, OH 44057-2527 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566175 | Sandra Forrester | Technician | 1589 Gentry Creek Rd, Laurel Bloomery, TN 37680-4209 | 2020-07-29 |
| 1174141105 | Sherri Frittz-matz | Technician | 550 Trout Run Rd, Mountain City, TN 37683-8034 | 2020-07-07 |
| 1154946242 | Shalena Walton | Technician | 7136 E Chermont Cir, Knoxville, TN 37918-5524 | 2020-06-15 |
| 1194349142 | Barbara Sword | Technician | 105 Cherokee Ave, Church Hill, TN 37642-4514 | 2020-06-05 |
| 1164057618 | Cyndee Tilson | Technician | 6905 Mount Royal Blvd, Knoxville, TN 37918-9759 | 2020-03-05 |
| 1811520315 | Nancy Myers | Technician | 1001 Crest Dr, Jefferson City, TN 37760-3639 | 2020-02-13 |
| 1558994046 | Deborah Peaks | Technician | 2610 Plymouth Rd Apt 213, Johnson City, TN 37601-9302 | 2020-02-13 |
| 1760014542 | Janie Easter | Technician | 400 E Dunn St, Rockwood, TN 37854-2917 | 2020-02-10 |
| 1982236949 | Johnny M Byrge | Technician | 1005 Rose Hill Dr, La Follette, TN 37766-3962 | 2020-02-07 |
| 1992337968 | Jennifer Marie Ingle | Technician | 133 Valley Place Dr, Gray, TN 37615-3759 | 2020-02-07 |
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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.