STACEY ELIZABETH TILBURY (NPI# 1407995459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407995459 |
| Entity Type | Individual |
| Full Name | STACEY ELIZABETH TILBURY |
| Credential | NNP |
| Practice Address |
1500 E Medical Center 5th Floor Mott Hospital Rm F5790 Ann Arbor MI 48109-5254 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347634109 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
4704210249 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 4704210249 | 01 |
| Street Address |
1500 E MEDICAL CENTER 5TH FLOOR MOTT HOSPITAL RM F5790 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508245 | Joshua Shafquat | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center, 1h241 Uh, Ann Arbor, MI 48109-5048 | 2019-06-21 |
| 1932558699 | Yaser Carcora | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center, Tc 3116, Ann Arbor, MI 48109-5368 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568861417 | Sarah Elizabeth Benjamin | Nurse Practitioner | 24 Frank Lloyd Wright Dr, Ste L.2200, Ann Arbor, MI 48105-9484 | 2014-08-16 |
| 1134316789 | Danielle Marie Belz | Nurse Practitioner | 1500 East Medical Center Drive, 8th Floor C.s. Mott Childrens Hospital, Ann Arbor, MI 48109-4254 | 2007-09-27 |
| 1497856587 | Jean M Rockey | Nurse Practitioner | 1500 E Medical Center Dr, 8th Floor Cs Mott Childrens Hospital, Ann Arbor, MI 48109-4254 | 2006-09-25 |
| 1447275102 | Regents of The University of Michigan | Nurse Practitioner | 1500 East Medical Center Drive, B1floor Cancer & Geriatrics Ctr Recp B, Ann Arbor, MI 48109-0912 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497248223 | Karen Elizabeth Strauel | Nurse Practitioner | 7131 Houghton Dr, Davison, MI 48423-2335 | 2018-06-06 |
| 1366848053 | Rachel O'neil | Nurse Practitioner | 41054 Williamsburg Blvd, Canton, MI 48187-3878 | 2014-11-07 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1740544204 | Edith Ann Bardzilowski | Nurse Practitioner | 7393 N Seymour Rd, Flushing, MI 48433-9265 | 2012-06-29 |
| 1437313020 | Patricia Ann Atkins | Nurse Practitioner | 5473 Hillsboro Ct, Commerce Twp, MI 48382-5135 | 2008-07-14 |
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1447866215 | Marisa Mcalister | Nurse Practitioner | 16001 W 9 Mile Rd, Southfield, MI 48075-4803 | 2020-09-17 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
| 1407406507 | Melissa Hallman | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
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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.