STACEY LEWIS (NPI# 1396264016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396264016 |
| Entity Type | Individual |
| Full Name | STACEY LEWIS |
| Credential | RN |
| Practice Address |
645 E Missouri Ave Ste 300 Phoenix AZ 85012-1351 |
| Practice Telephone | (602) 528-6996 |
| Mailing Telephone | 6025286996 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN141919 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RN LICENSE | RN141919 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924328 | Stacey Lee Lewis | Licensed Practical Nurse | 499 Otego Rd, Franklin, NY 13775-4631 | 2008-02-25 |
| 1689272122 | Stacey A Lewis | Behavioral Analyst | 17 Pray St, Amherst, MA 01002-2110 | 2020-10-16 |
| 1114540234 | Stacey Michelle Lewis | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2020-05-22 |
| 1952819237 | Stacey Lewis | Occupational Therapy Assistant | 1009 W Quinn Rd, Pocatello, ID 83202-2425 | 2018-01-19 |
| 1568918167 | Stacey Lewis | Counselor | 27 N Main St, Shrewsbury, PA 17361-1321 | 2016-09-01 |
| 1396298311 | Stacey Lewis | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2016-07-26 |
| 1285041459 | Stacey Payne Lewis | Social Worker | 500 W Fort St, Boise, ID 83702-4501 | 2014-07-18 |
| 1871886853 | Stacey Lewis | Rehabilitation Practitioner | 2760 Lake Sahara Dr, Suite 108, Las Vegas, NV 89117-3438 | 2011-05-24 |
| 1447542972 | Stacey C Lewis | Pharmacist | 9120 N Division St, Spokane, WA 99218-1202 | 2011-05-02 |
| 1154648236 | Stacey Lynn Lewis | Social Worker | 3800 Hulen St Ste 295, Fort Worth, TX 76107-7276 | 2010-04-28 |
| Street Address |
645 E MISSOURI AVE STE 300 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044355 | Ernest Rudolph Anders IIi | Anesthesiology | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2005-06-23 |
| 1538771886 | Christopher W. Rourke | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2020-08-18 |
| 1104474733 | Kelley Tennant | Nurse Anesthetist, Certified Registered | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2019-08-27 |
| 1326523416 | Thomas Aloysius Finnerty | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2018-09-25 |
| 1104315860 | Jason Scott Herndon | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2018-05-08 |
| 1346740826 | Michell Sorley | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2018-02-20 |
| 1356841837 | Helen Burson | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2018-02-20 |
| 1386159259 | Kari Seow | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2017-12-13 |
| 1992210868 | Jennifer Mactough | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2017-12-13 |
| 1073032785 | Amy Mcdougall | Registered Nurse | 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 | 2017-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455777 | Christine Holly | Registered Nurse | 16620 N 40th St Ste D5, Phoenix, AZ 85032-3350 | 2020-10-19 |
| 1174120489 | Sheeba Kalappurakkal Divakaran | Registered Nurse | 3601 N 6th Ave Apt A8, Phoenix, AZ 85013-3738 | 2020-10-08 |
| 1801493184 | Stephanie Leigh Wilson | Registered Nurse | 1920 E Indian School Rd Apt 2062, Phoenix, AZ 85016-6078 | 2020-10-08 |
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1548877145 | Karida Pieger | Registered Nurse | 1701 E Colter St Unit 183, Phoenix, AZ 85016-3373 | 2020-09-28 |
| 1366056343 | Lona Annette Smeltzer | Registered Nurse | 40828 N Central Ave, Phoenix, AZ 85086-8608 | 2020-09-07 |
| 1053925008 | Jennifer Moore Kruse | Registered Nurse | 3717 E Ludlow Dr, Phoenix, AZ 85032-5728 | 2020-09-06 |
| 1093327421 | Nancy Tiet | Registered Nurse | 1014 E Pedro Rd, Phoenix, AZ 85042-7878 | 2020-08-18 |
| 1568074888 | Amber Nicole Underdown | Registered Nurse | 1629 E Villa Maria Dr, Phoenix, AZ 85022-1333 | 2020-08-18 |
| 1124630728 | Danielle Leigh Crooke | Registered Nurse | 2850 E North Ln, Phoenix, AZ 85028-3818 | 2020-08-17 |
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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.