STACEY KEENEY (NPI# 1770664906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770664906 |
| Entity Type | Individual |
| Full Name | STACEY KEENEY |
| Other Name | STACEY ZIMMER |
| Credential | RN |
| Practice Address |
205 Walnut St. Ellington MO 63638 |
| Mailing Address |
Po Box 763 Van Buren MO 63965-0763 |
| Practice Telephone | 5736632525 |
| Practice Fax Number | 5736637821 |
| Mailing Telephone | 5733234548 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 137877 | MO | Nursing Service Providers |
| Street Address |
205 WALNUT ST. |
| City | ELLINGTON |
| State | MO |
| Zip Code | 63638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184727422 | Rodney T. Rubi | Internal Medicine | 205 Walnut St., Ellington, MO 63638-0157 | 2006-09-05 |
| 1871696120 | Gwyndolen Ann Loyd | Licensed Practical Nurse | 205 Walnut St., Ellington, MO 63638-0157 | 2006-09-05 |
| 1851494116 | Stella Diane Fernandes | Nurse's Aide | 205 Walnut St., Ellington, MO 63638-0157 | 2006-09-05 |
| 1790888048 | Joyce Anne Stout | Licensed Practical Nurse | 205 Walnut St., Ellington, MO 63638-0157 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831398858 | Linda Lee Potter | Counselor | 125 A Temple St, Ellington, MO 63638 | 2007-07-11 |
| 1942424254 | Iris Fae Ross | Counselor | 110 N. Second St., Ellington, MO 63638 | 2007-04-11 |
| 1700916400 | Southern Reynolds Rii | Speech-Language Pathologist | One School Street, Ellington, MO 63638 | 2007-03-06 |
| 1467533604 | Sherilyn K Clark | Registered Nurse | 110 S. 2nd St., Ellington, MO 63638 | 2006-10-17 |
| 1770678211 | Big Springs Medical Association | Clinic/Center | 115 Walnut St, Ellington, MO 63638 | 2006-10-03 |
| 1376637728 | Jeanie Larue Mcclanahan | Dental Assistant | 115 Walnut St., Ellington, MO 63638 | 2006-10-02 |
| 1730450156 | Tasha Lynn Wisdom | Social Worker | 315 E Walnut St, Ellington, MO 63638 | 2012-01-17 |
| 1033420039 | Meagan Whitley Berry | Dental Hygienist | 115 Walnut St, Ellington, MO 63638 | 2010-06-24 |
| 1689814329 | Healthpro Physical Therapy LLC | Clinic/Center | 315 East Walnut, Ellington, MO 63638 | 2009-02-20 |
| 1992984173 | Dr. Stephen C. Waller, Dds, LLC | Dentist | 115 Walnut St, Ellington, MO 63638 | 2007-10-24 |
| Find all providers in zip 63638 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225500200 | Julie Marie Resnik | Registered Nurse | 3 Willi Ln, Ellington, CT 06029-2506 | 2019-01-01 |
| 1295816437 | Deeanna Lynn Freeman | Registered Nurse | 110 S. 2nd St., Ellington, MO 63638 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346870 | Lyea Dorae Shine | Registered Nurse | 502 Mccurry St, Pleasant Hope, MO 65725-9231 | 2020-11-03 |
| 1447859921 | Denetra Norris | Registered Nurse | 8508 Everett St, Raytown, MO 64138-3133 | 2020-10-26 |
| 1174122287 | Natasha Marie Byrd | Registered Nurse | 1710 Fenpark Dr # 4, Fenton, MO 63026-2920 | 2020-10-20 |
| 1710594858 | Jennifer Pohlmann | Registered Nurse | 324 Emerson Road, High Ridge, MO 63049-2542 | 2020-09-23 |
| 1184238891 | Alicia Johnson | Registered Nurse | 3609 S Marshall Dr, Independence, MO 64055-3861 | 2020-09-01 |
| 1205449048 | Chizoba Mbanugo Copes | Registered Nurse | 4801 E Linwood Blvd # M1-574, Kansas City, MO 64128-2226 | 2020-08-30 |
| 1912519273 | Lisa Crowley | Registered Nurse | 4421 S Hemlock Ave, Springfield, MO 65810-1086 | 2020-08-18 |
| 1669083382 | Andrea Nicole Petersen | Registered Nurse | 2410 S Limit Ave, Sedalia, MO 65301-6910 | 2020-08-14 |
| 1245841634 | Leslie Kim Williams | Registered Nurse | 2320 Sw River Spring Rd, Lees Summit, MO 64082-4087 | 2020-08-11 |
| 1114537396 | Paige Allen | Registered Nurse | 109 E 85th St, Kansas City, MO 64114-2540 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.