STACY MARIE TAVENNER (NPI# 1710535091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710535091 |
| Entity Type | Individual |
| Full Name | STACY MARIE TAVENNER |
| Practice Address |
400 N Mount Zion Rd Lebanon IN 46052-9497 |
| Mailing Address |
3415 Earhart Way Buford GA 30519-3013 |
| Practice Telephone | 7653350123 |
| Mailing Telephone | 3174185138 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN212253 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN212253 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 N MOUNT ZION RD |
| City | LEBANON |
| State | IN |
| Zip Code | 46052-9497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942551684 | Bhupinder K Gill | Physical Therapist | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2012-09-20 |
| 1114576097 | Angela Dawn Kirkendall | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2019-09-04 |
| 1427617810 | Jessica Marie Bingham | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2019-06-10 |
| 1255812129 | Tara E Cwiak | Physician Assistant | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2018-08-28 |
| 1174031843 | Alexandria Joanne Roemke | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2018-01-16 |
| 1053858621 | Allison Rae Shrack | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2017-01-20 |
| 1023567823 | Staci Jeanne Sides | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2016-09-22 |
| 1740638774 | Abby Elizabeth White | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2016-05-31 |
| 1417320870 | Erica D Baker | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2015-11-07 |
| 1144692864 | Novapex | Clinic/Center | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2015-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| 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 |
|---|---|---|---|---|
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1417505058 | Tanya Dawn Viars | Nurse Practitioner | 754 East Main St, Lebanon, VA 24266-2426 | 2019-08-27 |
| 1053823377 | Allison Ickes | Nurse Practitioner | 900 Tuck Street; Mchs Lebanon / Heartland Care Partners, Lebanon, PA 17042-7446 | 2017-10-26 |
| 1124412879 | Samantha Meyer | Nurse Practitioner | 842 Carson Dr, Lebanon, OH 45036-1316 | 2015-03-20 |
| 1366687261 | Pamela S Lippitt | Nurse Practitioner | 944 Riley Wills Rd, Lebanon, OH 45036-9037 | 2008-12-05 |
| 1295950061 | Judith Ann Barberio | Nurse Practitioner | 7 Haytown Rd, Lebanon, NJ 08833-4009 | 2007-04-16 |
| 1437249372 | Anna Marie Dryer | Nurse Practitioner | 510 E. Hwy 32, Lebanon, MO 65536-5303 | 2006-10-13 |
| 1588755268 | Katherine A Tuthill | Nurse Practitioner | 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 | 2006-09-27 |
| 1538101068 | Joy Bender Mcmurry | Nurse Practitioner | 1423 W. Baddour Parkway, Lebanon, TN 37088-1165 | 2006-06-11 |
| 1881672137 | Melynda Kaye Wallace | Nurse Practitioner | 252 Mechanic St, Lebanon, NH 03766-2613 | 2006-01-06 |
| Find all providers in LEBANON | ||||
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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.