STACEY F MAINER (NPI# 1710096532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710096532 |
| Entity Type | Individual |
| Full Name | STACEY F MAINER |
| Other Name | STACEY A MAINER |
| Credential | ARNP |
| Practice Address |
546 N Jefferson Ln Suite 200 Spokane WA 99201 |
| Mailing Address |
Po Box 3867 Spokane WA 99220-3867 |
| Practice Telephone | 5096886700 |
| Practice Fax Number | 5094556913 |
| Mailing Telephone | 5096886700 |
| Mailing Fax Number | 5096886777 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP30007446 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9649781 | 05 |
| Street Address |
546 N JEFFERSON LN SUITE 200 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913621 | John Forrest Floyd | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2005-09-21 |
| 1740747195 | Alyssa Marie Mueller | Nurse Practitioner | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2019-02-21 |
| 1144622036 | Peter Glanville | Physician Assistant | 546 N Jefferson Ln, Ste 200, Spokane, WA 99201-7103 | 2014-09-23 |
| 1821381336 | Michelle Catherine Gail Signs | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2011-05-17 |
| 1881610038 | Sanjit K Dutta | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-07-14 |
| 1558310755 | Habtamua Melaku | Nurse Practitioner | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-05-08 |
| 1215994587 | Robert D Wigert | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-04-28 |
| 1295790129 | Berdine S Bender | Internal Medicine | 546 N Jefferson Ln, Spokane, WA 99201-7104 | 2006-04-20 |
| 1083680870 | Kimberly M Chupurdia | Psychologist | 546 N Jefferson Ln, Ste 200, Spokane, WA 99201-7103 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555871 | Katy Jane Kovari | Nurse Practitioner | 2118 N Ruby St, Spokane, WA 99207-5043 | 2020-10-16 |
| 1184222820 | Sidni Brianna Shoemaker | Nurse Practitioner | 4512 N Bessie Ln, Spokane, WA 99212-1793 | 2020-10-14 |
| 1316551286 | Jamie Joelle Finnerty | Nurse Practitioner | 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 | 2020-09-08 |
| 1689285017 | Carmen Snypp | Nurse Practitioner | 3331 W Holyoke Ave, Spokane, WA 99208-4672 | 2020-08-10 |
| 1649817024 | Lisa Renee Giddings | Nurse Practitioner | 1617 E 65th Ave, Spokane, WA 99223-6703 | 2019-12-05 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1982118394 | Dawn Marie Depriest | Nurse Practitioner | 600 N. Riverfront Blvd, Esfcom, Spokane, WA 99210 | 2017-11-21 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| 1972807311 | Wanping Zhang | Nurse Practitioner | 122 West 7th Ave, Suite 450, Spokane, WA 99204-2339 | 2010-12-28 |
| 1851694673 | Michele Louise Moore | Nurse Practitioner | 9130 E Fraser Ct, Spokane, WA 99206-6083 | 2010-12-16 |
| Find all providers in SPOKANE | ||||
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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.