MS. STACY ANN IRWIN (NPI# 1811075070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811075070 |
| Entity Type | Individual |
| Full Name | MS. STACY ANN IRWIN |
| Credential | APN |
| Practice Address |
833 Chestnut Street East, Suite 300 Philadelphia PA 19107-4405 |
| Mailing Address |
P.o. Box 191 Rockland DE 19723-0191 |
| Practice Telephone | 2158618800 |
| Practice Fax Number | 2158618815 |
| Mailing Telephone | 3026514000 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | SP008417 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | RN532602 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP008417 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN532602 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 61018 | 05 | |
| MD | 4071964 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023467040 | Stacy Shannon Irwin | Counselor | 9104 Sw 21st St, Oklahoma City, OK 73128-4933 | 2016-06-09 |
| 1295083475 | Stacy Lyn Irwin | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2012-08-21 |
| 1518276203 | Stacy Irwin | Speech-Language Pathologist | 212 Riverstone Dr, Canton, GA 30114-5256 | 2010-09-29 |
| Street Address |
833 CHESTNUT STREET EAST, SUITE 300 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306857990 | Zhen Pan | Family Medicine | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2006-08-10 |
| 1942643671 | Brittany A. Perry | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2013-04-11 |
| 1366684961 | Brighid Moran O'donnell | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2009-03-27 |
| 1083740807 | Ellen I. Ross | Pediatrics | 833 Chestnut Street East, Suite 300, Jefferson Faculty Peds and Dupont Childrens Hlth Prog, Philadelphia, PA 19107-4405 | 2007-02-26 |
| 1992854392 | Tara J. Berman | Pediatrics | 833 Chestnut Street East, Suite 300, Jef Faculty Peds and Dupont Childrens Hlth Prog, Philadelphia, PA 19107-4405 | 2007-01-09 |
| 1083779946 | Melissa A. Smith | Licensed Practical Nurse | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2006-12-22 |
| 1639257892 | Gary A. Emmett | Pediatrics | 833 Chestnut Street East, Suite 300, Jefferson Faculty Peds and Dupont Childrens Hlth Prog, Philadelphia, PA 19107-4405 | 2006-11-02 |
| 1285719369 | Eileen T. Skiffington | Nurse Practitioner | 833 Chestnut Street East, Suite 300, Nemours Dupont Pediatrics, Philadelphia, Philadelphia, PA 19107-4405 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1275026528 | Eileen Cawley Paynton | Nurse Practitioner | 7500 Central Ave Ste 205, Philadelphia, PA 19111-2432 | 2018-06-12 |
| 1811488091 | Lisa Jang | Nurse Practitioner | 3400 Civic Center Blvd Dept General, Philadelphia, PA 19104-5127 | 2018-05-23 |
| 1861999542 | Bashira Charles | Nurse Practitioner | 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015 | 2018-04-10 |
| 1356883938 | Laura-therese Martone | Nurse Practitioner | 501 S 26th St Unit 1, Philadelphia, PA 19146-1008 | 2016-11-14 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1396194106 | Lisa Mcfarlane | Nurse Practitioner | 6340 Wayne Ave, Philadelphia, PA 19144-3113 | 2016-06-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on MS. STACY ANN IRWIN.
| 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.