STACEY L WILLEY (NPI# 1588611412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588611412 |
| Entity Type | Individual |
| Full Name | STACEY L WILLEY |
| Other Name | STACEY L TOWNSEND |
| Credential | DC |
| Practice Address |
601 Brady St Ste 301h Davenport IA 52803-5251 |
| Practice Telephone | 3097937000 |
| Practice Fax Number | 8664213726 |
| Mailing Telephone | 3097937000 |
| Mailing Fax Number | 8664213726 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 007626 | IA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038.010981 | IL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3832 14th Ave, Rock Island, IL 612013801 | 3097937000 | 8664213726 |
| 601 Brady St Ste 115, Davenport, IA 528035251 | 3097937000 | 8664213726 |
| Street Address |
601 BRADY ST STE 301H |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| 1821609918 | Kira Baca | Chiropractor | 3231 Schuetzen Ln Apt 3, Davenport, IA 52804-4344 | 2020-08-12 |
| 1437776663 | Manuel Alejandro Soto-garcia | Chiropractor | 4824 Grandview Pkwy, Davenport, FL 33837-2301 | 2020-07-03 |
| 1457826497 | Dalton Daniel Doudna | Chiropractor | 3536 Jersey Ridge Rd, Davenport, IA 52807-2223 | 2018-10-05 |
| 1477035442 | Jacqueline M Gulley | Chiropractor | 2010 E 38th St Ste 201b, Davenport, IA 52807-1179 | 2018-09-05 |
| 1528573102 | Torry Dean Slawson | Chiropractor | 3904 Lillie Ave Ste 1, Davenport, IA 52806-4422 | 2017-12-05 |
| 1134631583 | Randy Pitts | Chiropractor | 100 Vista Pass, Davenport, FL 33897-8381 | 2017-10-25 |
| 1649795485 | Taylor Overmohle | Chiropractor | 13609 110th Ave, Davenport, IA 52804-9033 | 2017-08-12 |
| 1598298812 | Crystal Drzewiecki | Chiropractor | 1954 Walling Ct, Davenport, IA 52803-3077 | 2017-04-04 |
| 1770027658 | Inner Health Systems P.C. | Chiropractor | 2406 E 53rd St Ste 2, Davenport, IA 52807-3827 | 2016-12-12 |
| Find all providers in DAVENPORT | ||||
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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.