STACEY L HALL (NPI# 1760950547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760950547 |
| Entity Type | Individual |
| Full Name | STACEY L HALL |
| Credential | NP |
| Practice Address |
1420 W Baddour Pkwy Ste 100 Lebanon TN 37087-1510 |
| Mailing Address |
2801 Charlotte Ave Nashville TN 37209-4035 |
| Practice Telephone | 6154430202 |
| Practice Fax Number | 6154430671 |
| Mailing Telephone | 6152509200 |
| Mailing Fax Number | 6152509251 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 24130 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNESSEE BOARD OF NURSING | 24130 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 Charlotte Ave, Nashville, TN 372094035 | 6152509200 | 6152509251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013415124 | Stacey M Hall | Massage Therapist | 5 Nassau Blvd, Garden City, NY 11530-5340 | 2018-01-24 |
| 1447535364 | Stacey Diane Hall | Audiologist | 1209 E 9th St, Bonham, TX 75418-4059 | 2011-10-12 |
| 1295993392 | Stacey Lynn Hall | Physical Medicine & Rehabilitation | 1333 Moursund, Tirr Memorial Hermann, Houston, TX 77030 | 2008-05-27 |
| 1760692099 | Stacey S Hall | Dentist | 5231 Monticello Ave., Suite E, Williamsburg, VA 23188 | 2007-05-23 |
| 1902926215 | Stacey Denise Hall | Physical Therapist | 10518 Kettering Dr, # 710, Charlotte, NC 28226-4742 | 2007-03-30 |
| 1053458372 | Stacey Hall II | Case Manager/Care Coordinator | 8526 Morning Oak Ln, Cypress, TX 77433-1499 | 2007-01-30 |
| 1174170054 | Stacey Hall | Pharmacist | 263 W Morgan St, Knightstown, IN 46148-9312 | 2019-08-24 |
| 1407319494 | Stacey Hall | Counselor | 609 E Church St, Booneville, MS 38829-3711 | 2019-04-08 |
| 1164910881 | Stacey M Hall | Social Worker | 901 7th Ave Ste 2100, Fort Worth, TX 76104-2722 | 2018-04-27 |
| 1346620663 | Stacey Hall | Counselor | 39 Mechanic St, Suite 222, Camden, ME 04843-1807 | 2015-06-02 |
| Street Address |
1420 W BADDOUR PKWY STE 100 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104187632 | Jay Edmund Sulek | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087 | 2012-05-31 |
| 1235655952 | Urology Associates PC | Urology | 1420 W Baddour Pkwy Ste 100, Lebanon, TN 37087-1510 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| 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.