MRS. STACEY LYNN ANTONUCCI (NPI# 1518116508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518116508 |
| Entity Type | Individual |
| Full Name | MRS. STACEY LYNN ANTONUCCI |
| Other Name | MRS. STACEY LYNN KWASNY |
| Credential | CRNP |
| Practice Address |
90 W Chestnut St Washington PA 15301-4524 |
| Mailing Address |
91 Hickory Rd Daisytown PA 15427-1089 |
| Practice Telephone | 7242287113 |
| Mailing Telephone | 7246325432 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP009961 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
90 W CHESTNUT ST |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665198 | Brenda S Cole | Psychologist | 90 W Chestnut St, Suite 609, Washington, PA 15301-4524 | 2006-01-27 |
| 1801431374 | Lan Thanh Diep Griffith | Counselor | 90 W Chestnut St, Washington, PA 15301-4524 | 2019-11-08 |
| 1730549098 | Forward Focus, PC | General Practice | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2016-03-01 |
| 1811393358 | Theresa Cypher | Counselor | 90 W Chestnut St, Ste.510, Washington, PA 15301-4524 | 2014-11-11 |
| 1407105695 | William Daniel Trusnovic Jr. | General Practice | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2012-09-04 |
| 1720385610 | Hilary Falo | Nurse Practitioner | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2011-02-11 |
| 1184948804 | Lisbeth Eleanor Mihok | Counselor | 90 W Chestnut St, Ste. 900, Washington, PA 15301-4524 | 2010-03-24 |
| 1669656088 | Associates In Oral and Maxillofacial Surgery | Dentist | 90 W Chestnut St, Suite #125 Ll, Washington, PA 15301-4524 | 2007-12-20 |
| 1386794451 | Washington Drug and Alcohol Commission Inc | Case Management | 90 W Chestnut St, Suite 310, Washington, PA 15301 | 2007-01-11 |
| 1497845515 | Marcia Renee Smith | Nurse Practitioner | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1184222754 | Aimee Elizabeth Westmore | Nurse Practitioner | 7701 26 Mile Rd, Washington, MI 48094-2804 | 2020-10-15 |
| 1649877416 | Rachel Maurine Caudle | Nurse Practitioner | 1504 Kern Rd, Washington, IL 61571-2318 | 2020-10-05 |
| 1922615236 | Erica Stickney | Nurse Practitioner | 532 E Beau St, Washington, PA 15301-3608 | 2020-09-30 |
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669086278 | Morgan Marie Weisz | Nurse Practitioner | 1809 Monroe St Ne, Washington, DC 20018-2735 | 2020-09-01 |
| 1952915746 | Alexandra Renee Leeper | Nurse Practitioner | 363 Maple Ave, Washington, PA 15301-1907 | 2020-08-31 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| 1174136345 | Sarah King | Nurse Practitioner | 314 Carroll St Nw Apt 202, Washington, DC 20012-2026 | 2020-08-27 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
Please comment or provide details below to improve the information on MRS. STACEY LYNN ANTONUCCI.
| 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.