STACI MCNAIR (NPI# 1538790407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538790407 |
| Entity Type | Individual |
| Full Name | STACI MCNAIR |
| Practice Address |
1060 W Perimeter Rd Jb Andrews MD 20762-6602 |
| Mailing Address |
5708 Olde Mill Ct Unit 131 Alexandria VA 22309-4640 |
| Practice Telephone | 2408578929 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC002994 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1060 W PERIMETER RD |
| City | JB ANDREWS |
| State | MD |
| Zip Code | 20762-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214894 | Richard Allen Ypina Jr. | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-10-30 |
| 1417554577 | Meaghan Mccarthy | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-10-01 |
| 1598384182 | Brian Sanders | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-04-13 |
| 1770102667 | Esther Solano | Psychologist | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-04-11 |
| 1386276558 | Robert Wittwer | Nurse Anesthetist, Certified Registered | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-02-06 |
| 1700447182 | Patricia Szmuc | Pharmacist | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2019-06-26 |
| 1447813175 | Keara Washington | Psychologist | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2019-04-18 |
| 1871052126 | Carmen Alexandra Maffucci | Physician Assistant | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2019-03-17 |
| 1093213878 | Timothy Michael Mcsheehy | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2018-01-26 |
| 1134657349 | Sean Sawyer | Emergency Medicine | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2017-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1306467667 | Priscilla Andalia | Student in an Organized Health Care Education/Training Program | 1065 W. Perimeter Road, Jb Andrews, MD 20762 | 2020-04-28 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1083240139 | Shirley Ye | Student in an Organized Health Care Education/Training Program | 1025 Boston Rd, Joint Base Andrews, MD 20762 | 2020-03-20 |
| 1255988853 | Songxuan Zhou Niemtzow | Acupuncturist | Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 | 2019-08-20 |
| 1487010971 | Tracy Ellen Ambos | Social Worker | 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 | 2016-01-13 |
| 1154718450 | Ryan Mason Kring | Emergency Medicine | Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 | 2015-04-24 |
| 1518206044 | Jeremy Gallman | Veterinarian | 1781 Arnold Ave., Joint Base Andrews, MD 20762 | 2013-02-04 |
| 1043556418 | Kimberly Mccoy-singh | Physical Therapist | 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 | 2012-12-12 |
| 1417215799 | Alexander Rostam Kheradi | Emergency Medicine | 1050 West Perimeter Road, Joint Base Andrews, MD 20762 | 2012-04-24 |
| Find all providers in zip 20762 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | JB ANDREWS |
| Zip Code | 20762 |
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| 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.