STACEY NELSON (NPI# 1598204109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598204109 |
Entity Type | Individual |
Full Name | STACEY NELSON |
Credential | RN |
Practice Address |
777 Murphy Rd Medford OR 97504-8425 |
Practice Telephone | 4434463262 |
Enumeration Date | 2017-02-15 |
Last Update Date | 2017-02-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
201610238RN | OR | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922489723 | Stacey D Nelson | Social Worker | 11048 Cardiff Ln, Frisco, TX 75035-6673 | 2015-06-17 |
1215346259 | Stacey Nelson | Counselor | 4215 9th Ave S, Fargo, ND 58103-2018 | 2014-08-04 |
1740546050 | Stacey Nelson | Licensed Practical Nurse | 2634 Pearl St, Detroit, MI 48209-3700 | 2012-04-11 |
1609942655 | Stacey Nelson | Social Worker | 4371 E 72nd Ave, Commerce City, CO 80022-1471 | 2006-11-28 |
1033293279 | Stacey J Nelson | Marriage & Family Therapist | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2006-10-24 |
1770839029 | Stacey Nelson | Registered Nurse | 1704 E Broadway Ave, Maryville, TN 37804 | 2012-07-24 |
1225384589 | Stacey White Nelson | Counselor | 1307 E Elm St, Athens, AL 35611-5318 | 2012-07-24 |
1760790828 | Stacey Lynn Nelson | Psychologist | 11280 86th Ave N, Maple Grove, MN 55369-4510 | 2010-09-22 |
1912187329 | Stacey Lynn Nelson | Nurse Anesthetist, Certified Registered | 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 | 2007-11-14 |
1538292834 | Stacey Nelson | Counselor | 914 E Broadway, Louisville, KY 40204-1037 | 2007-03-14 |
Street Address |
777 MURPHY RD |
City | MEDFORD |
State | OR |
Zip Code | 97504-8425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
1144831991 | Shawn Sorensen | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-08-14 |
1619588464 | Terry Darlene Hansen | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-08-14 |
1801411889 | Kelly Mcevilly | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-06-15 |
1205458072 | Deanna Granacki | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-05-14 |
1801416466 | Jamie Bradford | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-23 |
1528697596 | Jacob James Henderson | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-02 |
1366076333 | Brittany L Jones | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-27 |
1811529647 | Rachele Bedsole | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-10 |
1487285425 | Laurel Rose Pew | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366076333 | Brittany L Jones | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-27 |
1407336449 | Denise Kesti Ewing | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2018-08-20 |
1932686110 | Marla Kay Barnes | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2018-07-20 |
1700233087 | Anne Daugherty | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
1326495607 | Nicole Elliott | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104458652 | Jorge I Deluna | Registered Nurse | 944 68th St, Springfield, OR 97478-2108 | 2020-02-12 |
1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
1710266226 | Anne Brown | Registered Nurse | 2165 Sw Main St, Portland, OR 97205-1123 | 2011-08-15 |
1942508726 | Judy Christine Hough | Registered Nurse | 1316 Sw Washington St, Portland, OR 97205-2327 | 2011-03-03 |
1114013919 | Sharon Kay Schmidt | Registered Nurse | 1181 Sw Ramsey Ave, Grants Pass, OR 97527 | 2006-10-05 |
1639791999 | Todd Yates | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-10 |
1780210914 | Carrie Tierney | Registered Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-03-19 |
1841820735 | Adrian Herrera Gonzalez | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-21 |
1295375129 | Angeline Maria Huserik Cowles | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-08 |
1982258075 | Ashley Marie Cramer | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2019-07-28 |
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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.