STACEY NICHOLAS (NPI# 1457691602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457691602 |
| Entity Type | Individual |
| Full Name | STACEY NICHOLAS |
| Credential | LPN |
| Practice Address |
2040 Seneca St Buffalo NY 14210-2324 |
| Mailing Address |
227 Thorn Ave Orchard Park NY 14127-2600 |
| Practice Telephone | 7168280560 |
| Practice Fax Number | 7168281522 |
| Mailing Telephone | 7166622040 |
| Mailing Fax Number | 7166620019 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 297209 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750525739 | Stacey Alison Nicholas | Social Worker | 41 Stonewyck Dr, Hillsborough, NJ 08844-2602 | 2009-04-22 |
| Street Address |
2040 SENECA ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14210-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528095494 | Holly Kropelin | Social Worker | 2040 Seneca St, Buffalo, NY 14210-2324 | 2006-06-27 |
| 1609473891 | Deidre M Anderson | Counselor | 2040 Seneca St, Buffalo, NY 14210-2324 | 2020-10-01 |
| 1437707346 | Danielle Smith | Counselor | 2040 Seneca St, Buffalo, NY 14210-2324 | 2019-09-04 |
| 1639651649 | Christopher Suchan | Rehabilitation Counselor | 2040 Seneca St, Buffalo, NY 14210-2324 | 2018-09-06 |
| 1568954212 | Breana Jones | Counselor | 2040 Seneca St, Buffalo, NY 14210-2324 | 2018-05-30 |
| 1457852931 | Lauren Simoncelli | Counselor | 2040 Seneca St, Buffalo, NY 14210-2324 | 2018-02-21 |
| 1841705456 | Lisa Beckworth | Social Worker | 2040 Seneca St, Buffalo, NY 14210-2324 | 2017-12-05 |
| 1417468562 | Shanese Mills | Counselor | 2040 Seneca St, Buffalo, NY 14210-2324 | 2017-10-17 |
| 1851814545 | Marc Burns | Social Worker | 2040 Seneca St, Buffalo, NY 14210-2324 | 2017-07-25 |
| 1235651084 | Lauren Cox | Counselor | 2040 Seneca St, Buffalo, NY 14210-2324 | 2017-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346764461 | Elijah J Ventura | Emergency Medical Technician, Basic | 71 Sage Ave, Upper, Buffalo, NY 14210 | 2017-07-31 |
| 1235401308 | Carolyn Krajewski | Licensed Practical Nurse | 49 Duerstein St., Buffalo, NY 14210 | 2012-02-03 |
| 1578884474 | Amanda Lee Holman | Physical Therapist | 51 St John's Parkside, Buffalo, NY 14210 | 2010-06-15 |
| 1205082906 | Elizabeth Stom | Physical Therapist | 51 St, John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2008-08-13 |
| 1215106919 | Colette E Kurzius | Speech-Language Pathologist | 51 St John Parkside, Buffalo, NY 14210 | 2008-02-27 |
| 1043497936 | Karen Marlene Hazel | Speech-Language Pathologist | 51 St. John's Parkside, Buffalo, NY 14210 | 2008-01-23 |
| 1922161322 | Mary Kathleen Betz | Physician Assistant | Landmark Health, 701 Seneca St Suite 646, Buffalo, NY 14210 | 2006-12-18 |
| 1184638538 | Keith Lewin Hosmer | Chiropractor | 154 Cazenovia Street, Buffalo, NY 14210 | 2006-07-28 |
| 1811925944 | Marcia Langa | Registered Nurse | 2040 Seneca Street, Buffalo, NY 14210 | 2006-06-29 |
| 1316443096 | Connect Medical, P.C. | General Practice | 701 Seneca St Ste 646c, Buffalo, NY 14210 | 2018-04-02 |
| Find all providers in zip 14210 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1316546963 | Tawanda Johnson | Licensed Practical Nurse | 333 S Division St, Buffalo, NY 14204-1715 | 2020-10-23 |
| 1740889195 | Jailyn Dickson | Licensed Practical Nurse | 298 E Delavan Ave, Buffalo, NY 14208-1313 | 2020-10-17 |
| 1972100493 | Bernadette Harrison | Licensed Practical Nurse | 352 Glenwood Ave, Buffalo, NY 14208-1817 | 2020-10-07 |
| 1225644727 | Stephanie Danielle Fuller | Licensed Practical Nurse | 22 Montclair Ave, Buffalo, NY 14215-2124 | 2020-09-20 |
| 1417567959 | Leisha Lett | Licensed Practical Nurse | 12 Midland St, Buffalo, NY 14220-1020 | 2020-08-07 |
| 1073131934 | Jaimontae Jeannette Mcduffie | Licensed Practical Nurse | 370 Wyoming Ave, Buffalo, NY 14215-3120 | 2020-07-08 |
| 1710500129 | Altricia Glisson | Licensed Practical Nurse | 511 Winslow Ave Uppr, Buffalo, NY 14211-1361 | 2020-05-20 |
| 1073134714 | Sharina Janee Morris | Licensed Practical Nurse | 354 Katherine St, Buffalo, NY 14210-2019 | 2020-05-05 |
| 1154952307 | Natalie Marie Jones | Licensed Practical Nurse | 110 Wood Ave, Buffalo, NY 14211-2550 | 2020-01-27 |
| 1073153128 | Keisha Samuels | Licensed Practical Nurse | 2092 Bailey Ave, Buffalo, NY 14211-2057 | 2020-01-07 |
| Find all providers in BUFFALO | ||||
Please comment or provide details below to improve the information on STACEY NICHOLAS.
| 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.