TERESA KAY STACY (NPI# 1750718805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750718805 |
| Entity Type | Individual |
| Full Name | TERESA KAY STACY |
| Practice Address |
12124 High Tech Ave Suite 300 Orlando FL 32817-8373 |
| Practice Telephone | 8883005132 |
| Mailing Telephone | 8883005132 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2285524 | MA | Nursing Service Providers |
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
116943 | MO | Nursing Service Providers |
| Street Address |
12124 HIGH TECH AVE SUITE 300 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817-8373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083752836 | Jennifer Angela Eagles | Physical Therapist | 12124 High Tech Ave, Ste 300, Orlando, FL 32817-8373 | 2007-02-02 |
| 1881062057 | Anna Davidovics | Occupational Therapy Assistant | 12124 High Tech Ave, Suite 400, Orlando, FL 32817-8373 | 2015-09-04 |
| 1942686712 | Mary Vinciguerra | Occupational Therapy Assistant | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2015-08-04 |
| 1770976151 | Sabrena Johnson | Physical Therapy Assistant | 12124 High Tech Ave, Ste. 300, Orlando, FL 32817-8373 | 2015-03-10 |
| 1952799439 | Kimberli Mcmillin | Physical Therapist | 12124 High Tech Ave, Ste. 300, Orlando, FL 32817-8373 | 2015-01-06 |
| 1952708083 | Lanedra Lee | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2014-12-04 |
| 1972920437 | Phyllis Anderson | Registered Nurse | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2014-03-23 |
| 1730505611 | Katherine Holliday | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2014-03-14 |
| 1417379991 | Ray Benzon Dennis David Liwag | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2014-01-17 |
| 1811318629 | Elishia Dodge | Occupational Therapist | 12124 High Tech Ave, Suite 300 Attn: Jackson Therapy Partners, Orlando, FL 32817-8373 | 2013-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731484 | Vanessa Lisa Aulet | Registered Nurse | 7951 Edgelake Dr, Orlando, FL 32822-7111 | 2020-05-08 |
| 1174039382 | Rogelio Anthony Solis | Registered Nurse | 10600 Bloomfield Dr Apt 816, Orlando, FL 32825-5906 | 2017-12-26 |
| 1679775480 | Orange County Healthcare | Registered Nurse | 3723 Vision Blvd, Orlando, FL 32839 | 2007-06-04 |
| 1457990897 | Brittany Mae Merritt | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-01-02 |
| 1205470036 | Xinqiang Liu | Registered Nurse | 7727 Lake Underhill Rd, Orlando, FL 32822-8224 | 2019-11-05 |
| 1174175285 | Amanda Kay Graham | Registered Nurse | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-07-10 |
| 1720646136 | Gabriel Vazquez-lopez | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-05-31 |
| 1902348923 | Trecia Jones | Registered Nurse | 9400 Turkey Lake Rd, Orlando, FL 32819-8001 | 2016-11-08 |
| 1366886079 | Scott Donald Sanderlin | Registered Nurse | 1300 N Semoran Blvd, Suite 195, Orlando, FL 32807-3557 | 2013-04-24 |
| 1417126442 | Aida Acevedo | Registered Nurse | 5201 Raymond St, Orlando, FL 32803-8208 | 2008-02-24 |
| Find all providers in ORLANDO | ||||
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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.