MS. STACEY R. ANDERSON (NPI# 1427089333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427089333 |
| Entity Type | Individual |
| Full Name | MS. STACEY R. ANDERSON |
| Other Name | MS. STACEY R. BRISCO |
| Credential | P.A.-C |
| Practice Address |
4921 W 18th St Lawrence KS 66047-2090 |
| Mailing Address |
Po Box 3425 Lawrence KS 66046-0425 |
| Practice Telephone | 7858300100 |
| Practice Fax Number | 7858300115 |
| Mailing Telephone | 7858300100 |
| Mailing Fax Number | 7858300115 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1500562 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508080615 | Stacey Francis Anderson | Dental Hygienist | 2454 Highway 2, Two Harbors, MN 55616-3000 | 2007-04-12 |
| 1336274968 | Stacey A. Anderson | Psychologist | 11311 S Stephanie Dr, Yuma, AZ 85367-5862 | 2007-02-22 |
| 1770637142 | Stacey Chatman Anderson | Social Worker | 2020 E 7th Street, Charlotte, NC 28213 | 2007-01-23 |
| 1265935530 | Stacey Anderson | Counselor | 617 Veterans Blvd Ste 107, Redwood City, CA 94063-1404 | 2018-03-13 |
| 1831637529 | Stacey Anderson | Nurse Practitioner | 16088 San Pedro Ave, Suite 115, San Antonio, TX 78232-2251 | 2017-02-02 |
| 1780061309 | Stacey Anderson | Social Worker | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2015-05-04 |
| 1013300896 | Stacey M Anderson | Nurse Practitioner | 107 S Broadway St, Carlisle, KY 40311-1150 | 2015-03-18 |
| 1447566294 | Stacey N Anderson | Case Manager/Care Coordinator | 110 S C St Ste A, Lompoc, CA 93436-7340 | 2010-08-30 |
| 1659685253 | Stacey L. Anderson | Nurse Practitioner | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2010-08-06 |
| 1851419592 | Stacey L. Anderson | Marriage & Family Therapist | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2007-03-27 |
| Street Address |
4921 W 18TH ST |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972546679 | Douglas Lloyd Funk | Pharmacist | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-06-13 |
| 1881155190 | Michelle B Lackamp | Family Medicine | 4921 W 18th St, Lawrence, KS 66047-2090 | 2019-03-28 |
| 1467935148 | Shannon Kopp | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2018-09-10 |
| 1457890949 | Heather Doeren Bridgens | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2017-02-16 |
| 1992250096 | Brooke Bennett | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2016-08-18 |
| 1295104891 | Sara Katherine Holmes | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2015-09-24 |
| 1881913127 | Healthy Balance, Inc. | Clinic/Center | 4921 W 18th St, Lawrence, KS 66047-2090 | 2010-05-26 |
| 1528270360 | Jessi M Siler | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2007-05-04 |
| 1679590681 | Family Medicine Associates Pa | Family Medicine | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-16 |
| 1407881618 | Brianne J. Cook | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239818 | Jd Sigler Publishing Company | Public Health or Welfare | 4951 West 18th Street, Lawrence, KS 66047 | 2018-09-21 |
| 1275063786 | Kathryn Elizabeth Hallacy | Physical Therapist | 3500 Clinton Place, Therapy Services, Lawrence, KS 66047 | 2017-06-16 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1063751592 | Meaghan Palmer | Respite Care | 4101 West 24th Place, #710, Lawrence, KS 66047 | 2013-02-04 |
| 1609098151 | Teakwood Psychological Resources, P.a. | Specialist | 2201 W 25th Street, Suite 0, Lawrence, KS 66047 | 2007-05-03 |
| 1205994910 | Farhang R. Khosh | Acupuncturist | 4935 Research Parkway, Lawrence, KS 66047 | 2006-12-05 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1043310089 | Cynthia Louise Schnacke | Psychologist | Teakwood Psychological Resources, 2201 W. 25th Street, Suite O, Lawrence, KS 66047 | 2006-09-22 |
| 1134225329 | Mark Howarter | Chiropractor | 3320 Clinton Parkway Ct Ste 100, Lawrence, KS 66047 | 2006-09-15 |
| 1396708855 | Carla B Phipps | Family Medicine | 4951 W 18th St, Lawrence, KS 66047 | 2006-04-07 |
| Find all providers in zip 66047 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1467935148 | Shannon Kopp | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2018-09-10 |
| 1811433733 | Grant Miller | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049-5232 | 2017-01-17 |
| 1992250096 | Brooke Bennett | Physician Assistant | 4921 W 18th St, Lawrence, KS 66047-2090 | 2016-08-18 |
| 1629463948 | Rebecca Marie Rendina | Physician Assistant | 360 Merrimack St, Lawrence, MA 01843-1740 | 2015-04-02 |
| 1174895262 | Tara Z Stecklein | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66046 | 2012-02-03 |
| 1073815452 | Melissa A Kramer | Physician Assistant | 325 Maine St, Lawrence, KS 66044-1360 | 2010-11-17 |
| 1093040438 | Britani L Congleton | Physician Assistant | 4930 Overland Drive, Lawrence, KS 66049 | 2009-10-02 |
| 1598997488 | Joseph T Miccoli | Physician Assistant | 215 Rockaway Tpke, Lawrence, NY 11559-1216 | 2009-08-11 |
| 1659389088 | Asima J Chowdhry | Physician Assistant | 73d Winthrop Ave, Lawrence, MA 01843-3716 | 2006-08-03 |
| Find all providers in LAWRENCE | ||||
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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.