STACY DYCUS (NPI# 1710529136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710529136 |
| Entity Type | Individual |
| Full Name | STACY DYCUS |
| Practice Address |
511 8th St Clarksville TN 37040-3093 |
| Mailing Address |
3134 Holly Pt Clarksville TN 37043-8435 |
| Practice Telephone | 9319207200 |
| Mailing Telephone | 6155943581 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN0000026498 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
511 8TH ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456313 | Daniel S Javier | Psychiatry & Neurology | 511 8th St, Clarksville, TN 37040-3093 | 2006-02-13 |
| 1629681754 | Raven Shiraef-green | Case Manager/Care Coordinator | 511 8th St, Clarksville, TN 37040-3093 | 2020-08-28 |
| 1700496650 | Shawn Hunt | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-08-05 |
| 1962026765 | Haley N Crider | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2020-06-08 |
| 1447885728 | Taylor Marie Robertson | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2020-03-07 |
| 1477187524 | Christopher Michael Egan | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-02-27 |
| 1972143964 | Danielle Renee Drew | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-01-08 |
| 1881248631 | Paula Renee Wallace | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2019-07-30 |
| 1285286948 | Amanda Black | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2019-07-12 |
| 1689230021 | Willie Pringle | Peer Specialist | 511 8th St, Clarksville, TN 37040-3093 | 2019-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760878474 | Candise Belmont | Nurse Practitioner | 103 Jefferson St Ste 100, Clarksville, TN 37040 | 2015-04-09 |
| 1114536539 | Clarity Mental Health Plc | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2020-07-31 |
| 1104443308 | Abigail Randall | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2020-07-03 |
| 1336765411 | Kayla Renee Mcmanus | Nurse Practitioner | 900 Professional Park Dr, Clarksville, TN 37040-5244 | 2020-06-24 |
| 1235762774 | Jill Standley | Nurse Practitioner | 915 Mcclardy Rd, Clarksville, TN 37042-6734 | 2020-02-12 |
| 1992354476 | Megan Jean Zamora | Nurse Practitioner | 143 Industrial Pkwy, Clarksville, VA 23927-3140 | 2019-09-08 |
| 1194235184 | Elizabeth Kathleen Burton | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2017-10-04 |
| 1992225874 | Marsha Walker | Nurse Practitioner | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2017-06-22 |
| 1124560784 | Sarah Elizabeth Lizotte | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2016-11-14 |
| 1568853174 | Shea Michelle Wilson | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2015-02-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on STACY DYCUS.
| 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.