STACEY ELLIS (NPI# 1669438073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669438073 |
| Entity Type | Individual |
| Full Name | STACEY ELLIS |
| Practice Address |
9005 Tudor Ln Manassas VA 20110-5754 |
| Mailing Address |
110 Township Ct Stephens City VA 22655-2962 |
| Practice Telephone | 7032578500 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000571 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134203052 | Stacey A Ellis | Pharmacist | 843 E Main St, Brownsburg, IN 46112-1457 | 2006-10-25 |
| 1285821256 | Stacey L Ellis | Orthotic Fitter | 2773 Harris St Ste C, Eureka, CA 95503-4866 | 2007-10-03 |
| Street Address |
9005 TUDOR LN |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234181 | Hannah Sarah Couch | Specialist/Technologist | 10220 Launch Cir Apt 301, Manassas, VA 20109-4226 | 2020-04-20 |
| 1023642600 | Stacey Webster | Specialist/Technologist | 10400 Nokesville Rd, Manassas, VA 20110-4141 | 2020-02-24 |
| 1073166898 | Hon Luu | Specialist/Technologist | 7889 Blue Gray Cir, Manassas, VA 20109-2825 | 2019-07-21 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1568960516 | Katie Racine | Specialist/Technologist | 10225 Malvern Ct, Manassas, VA 20110-6087 | 2018-01-24 |
| 1356880298 | Bonnie Bishop | Specialist/Technologist | 8410 Kao Cir, Manassas, VA 20110-1702 | 2017-02-13 |
| 1710374525 | Christy Blaylock | Specialist/Technologist | 6420 Excalibur Ct, Manassas, VA 20112-4031 | 2015-04-20 |
| 1326385022 | Jeane Marie Ryder | Specialist/Technologist | 10945 George Mason Circle, Apt 4025, Manassas, VA 20110 | 2013-01-15 |
| 1417294364 | Ashley Ausborn | Specialist/Technologist | 9309 China Grove Ct, Manassas, VA 20110-8914 | 2013-01-12 |
| 1891251484 | Breyah Abidemi Jones-powers | Specialist/Technologist | 10900 University Blvd, Manassas, VA 20110-2201 | 2019-02-19 |
| Find all providers in MANASSAS | ||||
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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.