STACY N. HENNIGAR (NPI# 1487194791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487194791 |
| Entity Type | Individual |
| Full Name | STACY N. HENNIGAR |
| Credential | NP |
| Practice Address |
1208 N Lincoln St Knoxville IA 50138-3421 |
| Practice Telephone | 6418283832 |
| Practice Fax Number | 6418283820 |
| Mailing Telephone | 6418283832 |
| Mailing Fax Number | 6418283820 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A105594 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NPI NUMBER | 1487194791 | 01 |
| IA | IOWA LICENSE | A105594 | 01 |
| Street Address |
1208 N LINCOLN ST |
| City | KNOXVILLE |
| State | IA |
| Zip Code | 50138-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286622 | Bradley J. Beattie IIi | Physician Assistant | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2005-09-27 |
| 1639670300 | Christina Rae Sailors | Nurse Practitioner | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2018-02-27 |
| 1821478439 | Jennifer Elkin | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138 | 2015-06-09 |
| 1043282759 | Kevin Wayne Mace | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2006-02-06 |
| 1154308278 | Michael J Daly | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2005-12-29 |
| 1710975347 | Todd A Treimer | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639726607 | Janice Rankin | Technician | 1130 180th Ave, Knoxville, IA 50138 | 2019-08-23 |
| 1255547832 | Margaret Elaine Ragner | Counselor | 104 South 6th, Knoxville, IA 50138 | 2007-05-14 |
| 1316161839 | Homestead of Knoxville Operations LLC | Assisted Living Facility | 908 South Park Lane Drive, Knoxville, IA 50138 | 2007-04-13 |
| 1811066806 | Travis J Egesdal | Dentist | 112 S 1st St, Knoxville, IA 50138 | 2006-11-06 |
| 1760583520 | Kathryn E De Zwarte | Social Worker | 1515 W Pleasant, Knoxville, IA 50138 | 2006-09-26 |
| 1821199365 | Scotty Thomas Hagan | Social Worker | 1515 West Pleasant, Knoxville, IA 50138 | 2006-09-26 |
| 1629175427 | Alicja Marta Pauler | General Practice | 1515 Pleasant St, Knoxville, IA 50138 | 2006-09-20 |
| 1235199571 | Jane M. Gandy | Physician Assistant | 1607 N Lincoln St, Knoxville, IA 50138 | 2006-03-23 |
| 1437642071 | Rocky Mountain Holdings, LLC | Ambulance | 1545 Highway 14, Knoxville, IA 50138 | 2018-06-08 |
| 1427428143 | Jennifer Lorayne Coxe | Nurse Practitioner | 1202 W Howard St, Knoxville, IA 50138 | 2015-10-07 |
| Find all providers in zip 50138 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1972117042 | Seth Ingebrigtson | Nurse Practitioner | 4707 Seminole Rd, Knoxville, TN 37918-1548 | 2020-09-04 |
| 1013521285 | Ashley Renee Bonnell | Nurse Practitioner | 2667 Sweeping Rain Ln, Knoxville, TN 37931-3170 | 2020-09-03 |
| 1407460207 | Mofoluwasho Adenekan | Nurse Practitioner | 6100 Stratford Park Blvd, Knoxville, TN 37912-2109 | 2020-08-31 |
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1598375255 | Abbey Rae Powell | Nurse Practitioner | 10119 Tan Rara Dr, Knoxville, TN 37922-4142 | 2020-08-06 |
| 1194335018 | Jennifer Blair Massaro | Nurse Practitioner | 1424 Whitower Dr, Knoxville, TN 37919-8841 | 2020-08-05 |
| 1194333054 | Sara Ann Dajani | Nurse Practitioner | 7600 Redwood Burl Ln, Knoxville, TN 37931-4183 | 2020-07-16 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on STACY N. HENNIGAR.
| 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.