STACY HECKARD


Address: 410 E. Penn Ave, Suite 101, Robesonia, PA 19551
Phone: 4849873456

STACY HECKARD (NPI# 1497248934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497248934
Entity Type Individual
Full Name STACY HECKARD
Credential CRNP
Practice Address 410 E. Penn Ave
Suite 101
Robesonia
PA 19551
Practice Telephone 4849873456
Practice Fax Number 6106934574
Mailing Telephone 4849873456
Mailing Fax Number 6106934574
Enumeration Date 2018-06-09
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN624672 PA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP019622 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 410 E. PENN AVE
SUITE 101
City ROBESONIA
State PA
Zip Code 19551

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255985958 Ashley Michelle Rinehart Social Worker Weiser Decisions, 404 S. Church Street, Robesonia, PA 19551 2019-07-31
1952804023 Furnace Creek Counseling LLC Counselor 509 W Penn Ave., Unit 10, Robesonia, PA 19551 2018-03-14
1093887341 Eric P Jacobi Dentist 105 W Penn Ave, Robesonia, PA 19551 2006-11-14
1043679483 Meredith Moore Specialist/Technologist 300 Lynn St, Robesonia, PA 19551-1318 2016-02-13
1548533615 Jamie L Hogan Counselor 509 W Penn Ave Unit 10, Robesonia, PA 19551-1425 2012-02-20
1588661896 Clorinda Forte-katz Chiropractor 141 W Penn Ave, Robesonia, PA 19551-1503 2005-06-30
1194923284 Jon A Wingate Physical Therapy Assistant 100 W Penn Ave, Robesonia, PA 19551-1504 2007-07-10
1972601771 Freedom Mobility LLC Durable Medical Equipment & Medical Supplies 226 E Penn Ave, Robesonia, PA 19551-1530 2006-09-20
1366657058 Reading Hospital Psychologist 347 E Penn Ave, Robesonia, PA 19551-8900 2007-05-14
1518924059 Conrad Weiser Area School District Local Education Agency (LEA) 44 Big Spring Rd, Robesonia, PA 19551-8905 2006-04-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ROBESONIA
Zip Code 19551

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Dataset Information

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.

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