STACY LOGAN WELSH (NPI# 1861794638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861794638 |
| Entity Type | Individual |
| Full Name | STACY LOGAN WELSH |
| Other Name | STACY LOGAN HIGGINS |
| Credential | PMHNP |
| Practice Address |
202 E Earll Dr Suite 200 Phoenix AZ 85012-2634 |
| Practice Telephone | 6028082800 |
| Practice Fax Number | 6028082799 |
| Mailing Telephone | 6028082800 |
| Mailing Fax Number | 6028082799 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP9782 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639360522 | Stacy L Welsh | Nurse Practitioner | 1434 Flushing Rd, Flushing, MI 48433-2229 | 2007-08-06 |
| 1316088057 | Stacy Welsh | Speech-Language Pathologist | 8348 Traford Ln, Suite 200, Springfield, VA 22152-1663 | 2007-02-08 |
| Street Address |
202 E EARLL DR SUITE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118591 | Laura A Masters | Social Worker | 202 E Earll Dr, Suite 420, Phoenix, AZ 85012-2634 | 2005-07-18 |
| 1467993287 | Interventional Surgical, LLC | Clinic/Center | 202 E Earll Dr, 360, Phoenix, AZ 85012-2634 | 2017-03-13 |
| 1679928790 | Lamia Abdouni | Nurse Practitioner | 202 E Earll Dr, Suite 160, Phoenix, AZ 85012-2634 | 2016-04-26 |
| 1073910758 | Michael Wilson | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 | 2014-11-25 |
| 1427455104 | Aida Valenzuela Dejonghe | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2647 | 2014-11-25 |
| 1013314087 | Sheri Marie Patton | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2647 | 2014-11-19 |
| 1538573225 | Melissa Leigh Suchon | Nurse Practitioner | 202 E Earll Dr, Suite 450, Phoenix, AZ 85012-2634 | 2014-06-20 |
| 1700201076 | Holly Szczakowski | Case Manager/Care Coordinator | 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 | 2014-02-24 |
| 1275884330 | Randall Sean Rollinson | Counselor | 202 E Earll Dr, Ste. 160, Phoenix, AZ 85012-2634 | 2012-09-28 |
| 1487916383 | Shannon Arellano | Case Manager/Care Coordinator | 202 E Earll Dr, Phoenix, AZ 85012-2634 | 2012-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1912515305 | Victory Health Solution LLC | Nurse Practitioner | 9132 W Hubbell St, Phoenix, AZ 85037-4377 | 2020-07-21 |
| 1700494374 | Vanessa Moe | Nurse Practitioner | 42949 N Voyage Trl, Phoenix, AZ 85086-8040 | 2020-07-20 |
| 1043838527 | Latasha Lynne Freeman | Nurse Practitioner | 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 | 2020-07-10 |
| 1861019416 | Gayle Cecilia Bachelier | Nurse Practitioner | 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 | 2020-06-30 |
| 1871119156 | Ashlyn Tellers | Nurse Practitioner | 21438 N 33rd Ave, Phoenix, AZ 85027-2241 | 2020-06-22 |
| 1770109605 | Hannah Carita Jurekovic-byrd | Nurse Practitioner | 5727 N 7th St Ste 308, Phoenix, AZ 85014-5817 | 2020-06-16 |
| 1578188025 | Joseph Medlin | Nurse Practitioner | 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934 | 2020-06-10 |
| 1750901088 | Foothills Psychiatric Services Pllc | Nurse Practitioner | 3546 E Windmere Dr, Phoenix, AZ 85048-7211 | 2020-04-16 |
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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.