STACIE ROTHFUS (NPI# 1578115739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578115739 |
| Entity Type | Individual |
| Full Name | STACIE ROTHFUS |
| Credential | NP-C |
| Practice Address |
562 W Main St Cookeville TN 38506-5382 |
| Mailing Address |
4826 Edgebrook Dr Cookeville TN 38506-7256 |
| Practice Telephone | 9318549601 |
| Mailing Telephone | 9313193744 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26131 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
562 W MAIN ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38506-5382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174011753 | Christopher Delk | Nurse Practitioner | 562 W Main St, Cookeville, TN 38506-5382 | 2018-04-29 |
| 1760983324 | Joshua Dragan | Nurse Practitioner | 562 W Main St, Cookeville, TN 38506-5382 | 2018-02-27 |
| 1861941007 | Linda A Gouker | Registered Nurse | 562 W Main St, Cookeville, TN 38506 | 2016-09-29 |
| 1902353659 | William Bradley Mccrary | Physician Assistant | 562 W Main St, Cookeville, TN 38506-5382 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782909 | Eric E Tywon | Physical Therapy Assistant | 1519 East Spring St Ste G, Cookeville, TN 38506 | 2020-05-20 |
| 1669955316 | Charaya Chontay Upton | Counselor | 128 Bilbrey St Apt 1, Cookeville, TN 38506 | 2018-09-10 |
| 1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1093235665 | Luis Filipe Mariusso | Dentist | 1640 Salem Rd, Cookeville, TN 38506 | 2017-06-23 |
| 1538611264 | Tammy Mccoy | Counselor | 4900 Rocky Point Rd, Cookeville, TN 38506 | 2016-10-28 |
| 1063964799 | Bunker Hill Staffing LLC | Nurse Practitioner | 1300 Bunker Hill Rd Ste A, Cookeville, TN 38506 | 2016-10-28 |
| 1679942155 | Upper Cumberland Family Dentistry | Dentist | 554 West Main Street, Algood, TN 38506 | 2015-09-15 |
| 1124376272 | Steven T Ford | Counselor | 568 Scenic Lane, Cookeville, TN 38506 | 2012-08-21 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in zip 38506 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824379 | Natashia Melton | Nurse Practitioner | 1271 Walton Ln, Cookeville, TN 38501-1866 | 2018-09-14 |
| 1215414628 | Danny Miller | Nurse Practitioner | 606 E Spring St Ste B, Cookeville, TN 38501-5067 | 2018-07-27 |
| 1851893028 | Sarah Delk | Nurse Practitioner | 105 S Willow Ave Ste 100, Cookeville, TN 38501-4668 | 2018-03-05 |
| 1396102521 | British Bates | Nurse Practitioner | 1644 E Spring St, Cookeville, TN 38506-4317 | 2016-01-19 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1790113553 | Hometown Family Care, LLC | Nurse Practitioner | 675 B South Jefferson Avenue, Cookeville, TN 38501-0950 | 2013-10-14 |
| 1962740217 | Christie Hummel | Nurse Practitioner | 112 N. Walnut Ave, Cookeville, TN 38501 | 2013-01-22 |
| 1922344761 | Grant P Hall | Nurse Practitioner | 1362 Ivy Ln, Cookeville, TN 38501-3057 | 2012-12-26 |
| 1740539063 | Jennifer Lynn Lee | Nurse Practitioner | 4725 Maple Shade Cir, Cookeville, TN 38501-0829 | 2012-08-31 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38506 |
Please comment or provide details below to improve the information on STACIE ROTHFUS.
| 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.