STACY NICOLE HAZLIP (NPI# 1457661878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457661878 |
| Entity Type | Individual |
| Full Name | STACY NICOLE HAZLIP |
| Practice Address |
14041 Icot Blvd Clearwater FL 33760-3702 |
| Practice Telephone | 7274507269 |
| Practice Fax Number | 7274791248 |
| Mailing Telephone | 7274507269 |
| Mailing Fax Number | 7274791248 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
14041 ICOT BLVD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33760-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563419 | Amy Ballou | Nurse Practitioner | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2006-08-09 |
| 1659772671 | Bethany J Hutto | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2014-09-09 |
| 1336400803 | Meghan Harrigan | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2012-05-31 |
| 1720353170 | Angela Goudie | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2012-03-19 |
| 1669744066 | Barbara Francine Gerson | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2012-01-31 |
| 1033405972 | Jamie Joerres | Social Worker | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2011-06-20 |
| 1952618522 | Gayle M. Gauger | Counselor | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-09-02 |
| 1285953760 | Joyce Lynn Walker | Counselor | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-05-24 |
| 1154640621 | Velma Kathleen Mohr | Counselor | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-05-24 |
| 1194044651 | Sonny James Blake | Counselor | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2010-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053813444 | Enver Ruzdija Arnp LLC | Clinic/Center | 14690 Sugar Cane Way, Clearwater, FL 33760 | 2018-03-01 |
| 1528577087 | Csi-pediatric Services, Inc | Clinic/Center | 5291 110th Ave, Clearwater, FL 33760 | 2017-09-27 |
| 1457877094 | Healthcare Alliance LLC | In Home Supportive Care | 13575 58 St N, Ste 178, Clearwater, FL 33760 | 2017-08-15 |
| 1497208805 | 211 Tampa Bay Cares, Inc. | Voluntary or Charitable | 14155 58th Street North, Suite 211, Clearwater, FL 33760 | 2016-08-02 |
| 1760885503 | Amanda Pawlik | Physical Therapist | 13830 58th St. N., Suite 409, Clearwater, FL 33760 | 2014-10-08 |
| 1871842252 | Christine Lynne Felix | Radiology | 2028 Arbor Drive, Clearwater, FL 33760 | 2012-08-31 |
| 1194072017 | Anna Mccord | Speech-Language Pathologist | 13575 58th Street North, Clearwater, FL 33760 | 2012-08-09 |
| 1245460195 | Patricia Kathrine Clay | Occupational Therapist | 4902 Creekside Dr Ste A, Clearwater, FL 33760 | 2009-07-24 |
| 1346447992 | Tms Management Group, Inc. | Transportation Broker | 16331 Bay Vista Dr, Clearwater, FL 33760 | 2007-06-28 |
| 1730266461 | Joan Marie Jannino | Social Worker | 2188 58th St. N., Clearwater, FL 33760 | 2006-11-01 |
| Find all providers in zip 33760 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409537 | Alexa Rose Toscano | Case Manager/Care Coordinator | 2339 Campbell Rd, Clearwater, FL 33765-1504 | 2020-08-24 |
| 1366954125 | Shara Nicole Johnson | Case Manager/Care Coordinator | 1022 N Martin Luther King Jr Ave, Clearwater, FL 33755-3339 | 2017-11-01 |
| 1376082099 | Jillian Phillips | Case Manager/Care Coordinator | 29228 Us Hwy 19 N, Clearwater, FL 33761-2101 | 2017-02-14 |
| 1720449523 | Michelle Faith Mann | Case Manager/Care Coordinator | 1171 Marshall St, Clearwater, FL 33755-2645 | 2016-03-08 |
| 1962845164 | Jessie King | Case Manager/Care Coordinator | 131 W Grapefruit Cir, Clearwater, FL 33759-2412 | 2013-04-08 |
| 1053439158 | Harriet Singletary Rayner | Case Manager/Care Coordinator | 1946 Soule Road, Clearwater, FL 33759-1507 | 2007-03-27 |
| 1689121097 | Joe Johnson | Case Manager/Care Coordinator | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-09-01 |
| 1740543248 | Carmen Friedberg | Case Manager/Care Coordinator | 310 N Myrtle Ave, Clearwater, FL 33755-4431 | 2012-06-19 |
| 1225391816 | Domenica Anne Casey | Case Manager/Care Coordinator | 310 N Myrtle Ave, Clearwater, FL 33755-4431 | 2012-06-19 |
| 1942599204 | Sandra Robinson | Case Manager/Care Coordinator | 310 N Myrtle Ave, Clearwater, FL 33755-4431 | 2011-04-06 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33760 |
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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.