STACY L THOMAS (NPI# 1548272776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548272776 |
| Entity Type | Individual |
| Full Name | STACY L THOMAS |
| Other Name | STACY L OMODT |
| Credential | CRNA |
| Practice Address |
1325 S Cliff Ave Sioux Falls SD 57105-1007 |
| Mailing Address |
Po Box 5045 P.f.s. Prov Enrollment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6053222754 |
| Practice Fax Number | 6053222727 |
| Mailing Telephone | 6053222754 |
| Mailing Fax Number | 6053222727 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R020320-0336 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 060963300 | 05 | |
| MN | MN BLUE CROSS PROV # | 753S4OM | 01 |
| SD | 5752002 | 05 | |
| SD | TRICARE PROV # | 460224743-57105-AC47 | 01 |
| SD | DAKOTACARE PROV # | 9213801 | 01 |
| IA | 0574533 | 05 | |
| SD | WELLMARK BCBS/TRICARE | 1548272776 | 01 |
| NE | 460224743-48 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1356470967 | Stacy S Thomas | Licensed Practical Nurse | 3612 Plymouth Springmill Rd, Shelby, OH 44875-9527 | 2007-03-02 |
| 1578597019 | Stacy Thomas | Occupational Therapist | 120 N Richard Jackson Blvd, Suite 130, Panama City, FL 32407-2521 | 2006-07-10 |
| 1316411184 | Stacy Lynette Thomas | Community Health Worker | 27 S Main St, Tooele, UT 84074-2158 | 2019-01-15 |
| 1760843130 | Stacy Thomas | Counselor | 29 Money Island Rd, Salem, NJ 08079-9402 | 2016-03-14 |
| 1306206834 | Stacy Thomas | Nurse Practitioner | 1 Medical Center Dr, Middletown, OH 45005-2584 | 2016-02-25 |
| 1972865871 | Stacy Parker Thomas | Nurse Practitioner | 604 S Main St, Water Valley, MS 38965-3468 | 2012-06-15 |
| 1225157589 | Stacy M Thomas | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2007-03-28 |
| 1578640256 | Stacy Thomas | Specialist | 15002 N 32nd St, Phoenix, AZ 85032-4441 | 2006-11-01 |
| 1942280169 | Stacy W Thomas | Pediatrics | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-01-23 |
| Street Address |
1325 S CLIFF AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
| 1548873615 | Emily Catherine Dix | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-08-28 |
| 1912516873 | Gina Gronewold | Nurse Practitioner | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-27 |
| 1912525890 | Brooke Marie Gebhart | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-08 |
| 1093332181 | Courtney Ruth Allen | Physical Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-07-06 |
| 1285250548 | Danielle Hart | Anesthesiology | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-23 |
| 1164048039 | Madison Marie Guhlke | Speech-Language Pathologist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-17 |
| 1497379960 | Dawn Johnson | Dietitian, Registered | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-06-01 |
| 1790308351 | Justine Wilson | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-05-18 |
| 1932735511 | Katelyn Arbogast | Occupational Therapist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346775657 | Anesthesia Providers, Prof. LLC | Nurse Anesthetist, Certified Registered | 7023 S High Cross Trl, Sioux Falls, SD 57108-3332 | 2017-04-24 |
| 1497174593 | Heidi Underwood | Nurse Anesthetist, Certified Registered | 1305 W. 18th Street, Sioux Falls, SD 57117-5074 | 2014-04-16 |
| 1154541589 | Alfred Erwin Lupien | Nurse Anesthetist, Certified Registered | 3932 S Western Ave, Sioux Falls, SD 57105-6513 | 2007-04-26 |
| 1316064835 | Mark Swenson | Nurse Anesthetist, Certified Registered | 5600 S Josh Wyatt Dr, Sioux Falls, SD 57108-5210 | 2007-03-22 |
| 1194710939 | Paul M Bommersbach | Nurse Anesthetist, Certified Registered | 800 E 21st St, Sioux Falls, SD 57105-1016 | 2005-09-19 |
| 1992316772 | Kyle Garrett Wescott | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-08-13 |
| 1205445871 | Elizabeth Halverson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-07-29 |
| 1174149710 | Kyle Mamer | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-19 |
| 1972128692 | Carrie Jane Anderson | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-06-09 |
| 1437772134 | Laura Anne Taylor | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2020-05-28 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.