EVELYN M STACY (NPI# 1740233030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740233030 |
| Entity Type | Individual |
| Full Name | EVELYN M STACY |
| Credential | ARNP |
| Practice Address |
87 Mcgregor St Suite 1300 Manchester NH 03102-3765 |
| Practice Telephone | 6036952500 |
| Practice Fax Number | 6038984779 |
| Mailing Telephone | 6036952500 |
| Mailing Fax Number | 6038984779 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN 02994221 | NH | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AR NP 0299422308 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AR NP 0299422302 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30009223 | 05 |
| Street Address |
87 MCGREGOR ST SUITE 1300 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397442 | Stephen I Bogursky | Anesthesiology | 87 Mcgregor St, Ste. 1400, Manchester, NH 03102-3731 | 2005-06-28 |
| 1942721162 | Elizabeth Ashley Katsikides | Nurse Practitioner | 87 Mcgregor St, Manchester, NH 03102-3765 | 2017-06-28 |
| 1154794261 | Ap Derm New Hampshire PC | Dermatology | 87 Mcgregor St, Suite 2100, Manchester, NH 03102-3765 | 2015-11-11 |
| 1235508227 | Andrea F Bonenfant | Nurse Practitioner | 87 Mcgregor St, Manchester, NH 03102-3765 | 2015-09-19 |
| 1891172557 | Andrew M Slater | Internal Medicine | 87 Mcgregor St, Manchester, NH 03102 | 2015-05-01 |
| 1033501564 | Kristen Elizabeth Newell | Registered Nurse | 87 Mcgregor St, Manchester, NH 03102-3765 | 2015-02-20 |
| 1699180208 | Jennifer Rioux | Nurse Practitioner | 87 Mcgregor St, Ste. 3200, Manchester, NH 03102-3765 | 2014-06-23 |
| 1124451380 | Margaret Mary Crowder | Nurse Practitioner | 87 Mcgregor St, Suite 3200, Manchester, NH 03102-3765 | 2013-08-12 |
| 1447682257 | Meaghan O'leary | Nurse Practitioner | 87 Mcgregor St, Suite 3100, Manchester, NH 03102-3765 | 2013-08-02 |
| 1508170820 | Eric Hyman Grover | Psychiatry & Neurology | 87 Mcgregor St, Manchester, NH 03102-3765 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326111295 | Susan M Mckeown | Nurse Practitioner | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
| 1508834508 | Barbara Renshaw | Nurse Practitioner | 210 Main Street, Manchester, CT 06040 | 2006-03-08 |
| 1285073213 | Kristin Evans Logan | Nurse Practitioner | 1245 Elm St, Manchester, NH 03101-1308 | 2013-06-24 |
| 1891054490 | Suzanne Marie Vance | Nurse Practitioner | 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 | 2012-05-16 |
| 1942451646 | Kristen Elizabeth Stevens | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2008-10-01 |
| 1417153677 | Kids Station Pediatrics | Nurse Practitioner | 191 Main St, Manchester, CT 06042-3556 | 2007-06-25 |
| 1396814612 | Elda Cordero-goodman | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-11-08 |
| 1235219320 | Cornelia Gonsalves | Nurse Practitioner | 100 Hitchcock Way, Capp, Manchester, NH 03104-4125 | 2006-10-16 |
| 1205921996 | Eileen Mccarthy | Nurse Practitioner | 4 Elliot Way, Suite105, Manchester, NH 03103 | 2006-10-04 |
| 1568490225 | Debra Ann Ritrovato | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03102 |
Please comment or provide details below to improve the information on EVELYN M STACY.
| 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.