MRS. STACCIE ANNE ALLEN (NPI# 1770998890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770998890 |
| Entity Type | Individual |
| Full Name | MRS. STACCIE ANNE ALLEN |
| Credential | NP |
| Practice Address |
922 E Call St Starke FL 32091-3616 |
| Mailing Address |
2323 Nw 93rd St Gainesville FL 32606-7146 |
| Practice Telephone | 9043682300 |
| Mailing Telephone | 3522583726 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2015-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9203022 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012424100 | 05 |
| Street Address |
922 E CALL ST |
| City | STARKE |
| State | FL |
| Zip Code | 32091-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528021250 | Frederick Jason Mcnew | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2006-04-12 |
| 1831602739 | Starke Hma LLC | Medicare Defined Swing Bed Unit | 922 E Call St, Starke, FL 32091-3616 | 2017-11-14 |
| 1003351818 | Bradford Emergency Group LLC | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2017-01-03 |
| 1164970364 | Bryan John Goss | Nurse Practitioner | 922 E Call St, Starke, FL 32091-3616 | 2016-09-15 |
| 1356750368 | William Shallcross | Pharmacist | 922 E Call St, Starke, FL 32091-3616 | 2014-08-05 |
| 1851719207 | Dorothy Fox | Pharmacist | 922 E Call St, Starke, FL 32091-3616 | 2014-04-02 |
| 1972930717 | Qazim Salia | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2013-10-10 |
| 1619287158 | Ipn Emergency Physicians of North Florida Pa | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2010-10-18 |
| 1417276650 | Starke Hma Medical Group LLC | Hospitalist | 922 E Call St, Starke, FL 32091-3616 | 2010-05-27 |
| 1720226772 | Cardiology Associates of Gainesville | Internal Medicine | 922 E Call St, Starke, FL 32091-3616 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
| 1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
| 1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
| 1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
| 1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
| 1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
| 1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
| 1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
| 1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
| Find all providers in zip 32091 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
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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.