STACY CARTER (NPI# 1396982476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396982476 |
Entity Type | Individual |
Full Name | STACY CARTER |
Practice Address |
1109 Ream Ave Mount Shasta CA 96067-9768 |
Practice Telephone | 5309261436 |
Practice Fax Number | 5309262305 |
Mailing Telephone | 5309261436 |
Mailing Fax Number | 5309262305 |
Enumeration Date | 2009-01-12 |
Last Update Date | 2009-01-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285082206 | Stacy Carter | Speech-Language Pathologist | 4056 Tamiami Trl, Port Charlotte, FL 33952-8439 | 2016-05-31 |
1174920029 | Stacy Marcum Carter | Nurse Practitioner | 800 Rose St, Kch 4th Floor, Suite C400, Lexington, KY 40536-7001 | 2014-11-20 |
1093062267 | Stacy Marie Carter | Chiropractor | 170 Intrepid Ln, Syracuse, NY 13205-2545 | 2012-08-07 |
Street Address |
1109 REAM AVE |
City | MOUNT SHASTA |
State | CA |
Zip Code | 96067-9768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538786322 | Lynn Louise Lloyd | Acupuncturist | 522 E. Alma St, Mount Shasta, CA 96067 | 2020-06-29 |
1356971626 | Insight Wellness Institute | Clinic/Center | 1005 Ream Ave, Mount Shasta, CA 96067 | 2020-01-24 |
1720477052 | Mountain Medics Inc | Ambulance | 234 Gateway Park Drive, Mount Shasta, CA 96067 | 2015-01-09 |
1093120172 | Diana L Muncy | Counselor | 301 N Mount Shasta Blvd Ste 2, Mount Shasta, CA 96067 | 2014-06-26 |
1174851901 | Aaron Michael Stutz | Emergency Medicine | 234 Gateway Park Dr., Mount Shasta, CA 96067 | 2009-12-07 |
1487875415 | Blanchard Leroy Foster Jr. | Marriage & Family Therapist | 110 W. Castle Street, Suite 100, Mount Shasta, CA 96067 | 2007-05-01 |
1699815639 | Sally Mcfall | Marriage & Family Therapist | 1180-b Mount Shasta Blvd, Mt Shasta, CA 96067 | 2007-02-07 |
1174672174 | Anna Klimaszewski | Marriage & Family Therapist | 425 Oakway Rd, Mt Shasta, CA 96067 | 2007-01-09 |
1548355969 | John Cunningham | Marriage & Family Therapist | 705 Pine St., Mt Shasta, CA 96067 | 2006-10-03 |
1245330844 | Jacqueline Wilkinson Gilbert-parker | Physician Assistant | 822 Pine Street, Mount Shasta, CA 96067 | 2006-09-24 |
Find all providers in zip 96067 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093120172 | Diana L Muncy | Counselor | 301 N Mount Shasta Blvd Ste 2, Mount Shasta, CA 96067 | 2014-06-26 |
1649395195 | Peter Marquis | Counselor | 1180 S Mount Shasta Blvd Ste B, Mount Shasta, CA 96067-2764 | 2007-03-20 |
1669986790 | Rafaela Gomes-matos | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2017-11-28 |
1427599455 | Bruce Light | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2017-03-09 |
1013469691 | Hannah Crisci | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2016-10-28 |
1821540402 | Nathan Welker | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2016-10-28 |
1942752621 | Sariya Butler | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2016-10-28 |
1548712128 | Alyssa Winkelman | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2016-10-28 |
1225580905 | Dancing Ember Butler | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2016-10-28 |
1568914141 | Louise Dombrowski | Counselor | 301 Chestnut St, Mount Shasta, CA 96067-2214 | 2016-10-28 |
Find all providers in MOUNT SHASTA |
City | MOUNT SHASTA |
Zip Code | 96067 |
Please comment or provide details below to improve the information on STACY CARTER.
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.