STACY DOMINGUES WEBB (NPI# 1720367501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720367501 |
| Entity Type | Individual |
| Full Name | STACY DOMINGUES WEBB |
| Credential | MSN-PNP |
| Practice Address |
3401 Magnolia Cv Monroe LA 71203-2375 |
| Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
| Practice Telephone | 3183256311 |
| Practice Fax Number | 3183619805 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
06608 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2167481 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980674 | Stacy Danielle Webb | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msb-c579, Newark, NJ 07103-2757 | 2020-04-08 |
| 1316428956 | Stacy Danielle Webb | Nutritionist | 1735 E 17th Ave Ste 1, Denver, CO 80218-1684 | 2018-08-22 |
| 1225511645 | Stacy Jo Webb | Developmental Therapist | 9909 E 100 S, Greentown, IN 46936-9163 | 2018-09-11 |
| 1790285344 | Stacy Webb | Behavior Technician | 5300 Lennox Ave Ste 100, Bakersfield, CA 93309-1662 | 2018-02-20 |
| 1548493216 | Stacy E Webb | Case Manager/Care Coordinator | 1710 El Centro Familiar Blvd Sw, Albuquerque, NM 87105-4502 | 2009-08-28 |
| 1538369350 | Stacy L. Webb | Counselor | 480 Underwood Ave, Montello, WI 53949-9248 | 2007-07-19 |
| Street Address |
3401 MAGNOLIA CV |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899602 | Bonita H Dyess | Pediatrics | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-08-26 |
| 1699387407 | Kate M Rugg | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2020-08-21 |
| 1811948037 | Affinity Health Group, LLC | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2006-05-12 |
| 1518940709 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-11-22 |
| 1154314854 | Nancy L Zukowski | Pediatrics | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-08-26 |
| 1336132042 | Vivian Sherrie Carr | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1992367833 | Mallory Middleton | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-07-01 |
| 1760950125 | Amanda Nederlof | Nurse Practitioner | 401 Monroe Tpke, Monroe, CT 06468-2276 | 2018-11-05 |
| 1629592209 | Gretchen Carlin | Nurse Practitioner | 401 Monroe Tpke Ste 16, Monroe, CT 06468-2278 | 2017-07-26 |
| 1619345360 | Lori Allen Sadler | Nurse Practitioner | 517 Great Oaks Dr, Suite #103, Monroe, GA 30655-8211 | 2015-09-11 |
| 1407239395 | Krystal Amber Yount | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2015-07-09 |
| 1851778765 | Melissa Varrone | Nurse Practitioner | 49 Forest Rd, Monroe, NY 10950-2923 | 2015-04-29 |
| 1154716736 | Emma Mean | Nurse Practitioner | 1653 Campus Park Dr, Suite A, Monroe, NC 28112-4005 | 2015-04-01 |
| 1326478447 | Nadia Marie Allen | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2013-11-27 |
| 1144652181 | Joanie Lynn Graves | Nurse Practitioner | 2915 Betin Ave, Monroe, LA 71201-7257 | 2013-08-01 |
| Find all providers in MONROE | ||||
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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.