STACEY KAY WRIGHT (NPI# 1497716476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497716476 |
| Entity Type | Individual |
| Full Name | STACEY KAY WRIGHT |
| Credential | NP |
| Practice Address |
5593 N Glenwood St Garden City ID 83714 |
| Mailing Address |
3810 E Hardesty St Boise ID 83716-5595 |
| Practice Telephone | 2083225354 |
| Practice Fax Number | 2083225379 |
| Mailing Telephone | 2086310685 |
| Mailing Fax Number | 2083225379 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
813271 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP539A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA DEA | MW5044792 | 01 |
| ID | 806663602 | 05 | |
| DEA US DEPT OF JUSTICE | MW0747026 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 E Jefferson St Ste 201, Boise, ID 837126261 | 2083814100 | 2083811665 |
| 3810 E Hardesty St, Boise, ID 837165595 | 2086310685 | 2083225379 |
| 727 Fairview Dr Ste A, Carson City, NV 897015493 | 7756845018 | 7756871181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547340 | Stacey Louise Wright | Social Worker | 2434 Red Bud Ln, Aurora, IL 60502-6382 | 2020-01-14 |
| 1942565569 | Stacey Wright | Social Worker | 111 E 14th St # 213, New York, NY 10003-4103 | 2012-07-10 |
| 1780707232 | Stacey Wright | Marriage & Family Therapist | 10117 74th St, Suite 100, Kenosha, WI 53142-7533 | 2007-04-09 |
| Street Address |
5593 N GLENWOOD ST |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345504 | Miriam Anne Dee | Nurse Practitioner | 23 7th St S, Garden City, NY 11530-5522 | 2020-04-26 |
| 1326605429 | Shining Lite Weight Management & Personal Solutions, LLC | Nurse Practitioner | 4483 N Dresden Pl Ste 102, Garden City, ID 83714-5092 | 2019-05-23 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1598281826 | Polly Elpers | Nurse Practitioner | 311 E Spruce St Ste 3a, Garden City, KS 67846-5685 | 2017-08-18 |
| 1114469343 | Joyce A Noonan | Nurse Practitioner | 125 15th St, Apt A2, Garden City, NY 11530-1503 | 2016-11-04 |
| 1154798775 | Melanie Howard | Nurse Practitioner | 2613 Governor St, Garden City, GA 31408-2301 | 2015-08-31 |
| 1063845725 | Kristin Rochford | Nurse Practitioner | 600 Old Country Rd Rm 1w, Garden City, NY 11530-2001 | 2013-08-16 |
| 1538504253 | Lisa Anne Savino Fitzgerald | Nurse Practitioner | 174 Brixton Rd, Garden City, NY 11530-1324 | 2013-05-08 |
| 1043248826 | Anita G Hoeme | Nurse Practitioner | 911 N Main Street, Garden City, KS 67846-0500 | 2006-06-29 |
| 1053395772 | Donna Marie Horan | Nurse Practitioner | 5601 W Chinden Blvd, Garden City, ID 83714 | 2005-12-06 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
Please comment or provide details below to improve the information on STACEY KAY WRIGHT.
| 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.