STACY MCNERNEY (NPI# 1629432505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629432505 |
| Entity Type | Individual |
| Full Name | STACY MCNERNEY |
| Practice Address |
25775 W 10 Mile Rd Southfield MI 48033-4856 |
| Practice Telephone | 2488099941 |
| Mailing Telephone | 2488099941 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501003032 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
25775 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484693 | Michele Pennington Md Family Medical Pllc | Family Medicine | 25775 W 10 Mile Rd, Suite B, Southfield, MI 48034-4856 | 2006-06-12 |
| 1508229295 | Joshua Skorupski | Massage Therapist | 25775 W 10 Mile Rd, Suite C, Southfield, MI 48033-4856 | 2016-03-31 |
| 1083081988 | It Works, Inc. | Clinic/Center | 25775 W 10 Mile Rd, Suite C, Southfield, MI 48033-4856 | 2015-08-26 |
| 1841224409 | Anita L Regalado | Dentist | 25775 W 10 Mile Rd, Suite 104, Southfield, MI 48034-4856 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092625 | Jennifer Garmo | Massage Therapist | 17241 W 12 Mile Rd, Southfield, MI 48076-2130 | 2020-01-16 |
| 1669019402 | Dana Gaye Calhoun | Massage Therapist | 28919 Evergreen Rd, Southfield, MI 48076-5902 | 2019-11-27 |
| 1295382356 | Tywana R Colson | Massage Therapist | 25511 Southfield Rd Ste 114, Southfield, MI 48075-1830 | 2019-08-23 |
| 1437713088 | Glenda Pauletta Evans | Massage Therapist | 25070 Woodvale Dr S, Southfield, MI 48034-1214 | 2019-04-30 |
| 1477016764 | Michigan Massage Therapy | Massage Therapist | 23265 Northwestern Hwy Ste 100b, Southfield, MI 48075-7707 | 2019-04-12 |
| 1538621719 | Christina Das-minta | Massage Therapist | 17200 W 10 Mile Rd Ste 101, Southfield, MI 48075-2998 | 2019-04-05 |
| 1164989422 | All In One Therapy | Massage Therapist | 29688 Telegraph Rd Ste 400, Southfield, MI 48034-1364 | 2019-02-22 |
| 1861957839 | Korto Elaine Milas | Massage Therapist | 25901 W 10 Mile Rd Ste 110, Southfield, MI 48033-2857 | 2019-02-04 |
| 1811467038 | Jnai L Porter | Massage Therapist | 16000 W 9 Mile Rd Ste 410, Southfield, MI 48075-4839 | 2018-11-30 |
| 1336616853 | Break for Massage | Massage Therapist | 3000 Town Ctr Ste 58, Southfield, MI 48075-1120 | 2018-11-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on STACY MCNERNEY.
| 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.