STACY EVANS (NPI# 1568098697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568098697 |
| Entity Type | Individual |
| Full Name | STACY EVANS |
| Practice Address |
7691 Poe Ave Dayton OH 45414-2552 |
| Practice Telephone | 6143391649 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 158391 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2910854 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538157631 | Stacy N Evans | Pediatrics | 1110 N Monroe St, Albany, GA 31701-1949 | 2005-10-12 |
| 1508410374 | Stacy L Evans | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-07-30 |
| 1922482256 | Stacy Lynn Evans | Pharmacist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2015-07-16 |
| 1609040526 | Stacy A Evans | Community Health Worker | 4415 Shores Dr, Suite 208, Metairie, LA 70006-6804 | 2008-04-22 |
| Street Address |
7691 POE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191080 | Cara Sandell | Case Manager/Care Coordinator | 7691 Poe Ave, Dayton, OH 45414-2552 | 2019-08-27 |
| 1164058079 | Rexann Cook | Licensed Practical Nurse | 7691 Poe Ave, Dayton, OH 45414-2552 | 2020-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911794 | Ashley Renee' Hall | Licensed Practical Nurse | 4360 Nevada Ave, Dayton, OH 45416-1436 | 2020-08-06 |
| 1659980910 | Danielle Elizabeth Wilson | Licensed Practical Nurse | 2511 E 3rd St, Dayton, OH 45403-2018 | 2020-07-23 |
| 1235755448 | Kameron Owens | Licensed Practical Nurse | 1102 Salem Ave Apt 2e, Dayton, OH 45406-5148 | 2020-06-23 |
| 1801423421 | Renee Robinson | Licensed Practical Nurse | 4424 Bluehaven Dr, Dayton, OH 45406-3333 | 2020-03-24 |
| 1598306458 | Asia Y Edwards | Licensed Practical Nurse | 1811 Coretta Ct, Dayton, OH 45417-4522 | 2019-10-02 |
| 1154972131 | Shawnta Renee Brown | Licensed Practical Nurse | 5125 Altrim Rd, Dayton, OH 45417-6017 | 2019-09-22 |
| 1447808050 | Desiree Nicole Baker | Licensed Practical Nurse | 1515 Canfield Ave, Dayton, OH 45406-4208 | 2019-08-27 |
| 1982260543 | Leetonia L Maye | Licensed Practical Nurse | 4220 Camargo Dr Apt F, Dayton, OH 45415-3315 | 2019-05-19 |
| 1720641046 | Sacha Jenell Mahaley | Licensed Practical Nurse | 40 S Williams St, Dayton, OH 45402-8235 | 2019-04-22 |
| 1134683915 | Marcus D Ewings | Licensed Practical Nurse | 4817 Kentfield Dr, Dayton, OH 45426-1823 | 2019-01-26 |
| Find all providers in DAYTON | ||||
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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.