MR. STACY TALAHYTEWA II (NPI# 1871818492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871818492 |
| Entity Type | Individual |
| Full Name | MR. STACY TALAHYTEWA II |
| Credential | RT(R) |
| Practice Address |
Hwy 264 Mile Post 388 Polacca AZ 86042 |
| Mailing Address |
Po Box 1019 Polacca AZ 86042-1019 |
| Practice Telephone | 9287376210 |
| Mailing Telephone | 9287349450 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | CRT-10799 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
HWY 264 MILE POST 388 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802873 | Rebecca Metzler | Registered Nurse | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2020-08-20 |
| 1710500186 | Micaela Elise Campbell | Registered Nurse | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2020-05-20 |
| 1285120790 | Delilah Grace Maldonado | Registered Nurse | Hwy 264 Mile Post 388, Polacca, AZ 86042-0448 | 2018-07-09 |
| 1659870277 | Rocky Ray Deswood | Technician | Hwy 264 Mile Post 388, Polacca, AZ 86042-4000 | 2018-02-09 |
| 1770943656 | Biau Wong | Pharmacist | Hwy 264 Mile Post 388, Polacca, AZ 86042-4000 | 2016-03-04 |
| 1740647734 | Lisa Tungovia | Technician | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2016-01-21 |
| 1285003749 | Susan Erwin | Registered Nurse | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2015-09-15 |
| 1073896825 | Khrys Gates | Optometrist | Hwy 264 Mile Post 388, Polacca, AZ 86042-4000 | 2011-09-27 |
| 1437460813 | Jacqueline Hughes | Nurse's Aide | Hwy 264 Mile Post 388, Polacca, AZ 86042-4000 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1891924403 | Diane Renee Weidley | Dental Hygienist | Hwy 264, Mpp 388, Polacca, AZ 86042 | 2009-07-06 |
| Find all providers in zip 86042 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891010807 | Marjorie Chinnock | Radiologic Technologist | M.p. 388 State Route 264, Polacca, AZ 86042-4000 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974026 | Scottsdale Healthcare Corp | Radiologic Technologist | 20745 N Scottsdale Rd Ste 100, Scottsdale, AZ 85255-6453 | 2020-02-20 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| 1710427422 | Brad Elg | Radiologic Technologist | 641 E 25th Pl, Yuma, AZ 85365-2701 | 2017-02-28 |
| 1164961355 | Kathleen Brown | Radiologic Technologist | 14226 Calabasas Road, Yucca, AZ 86438 | 2017-02-21 |
| 1124490693 | Therdo Brooks IIi | Radiologic Technologist | 14450 W Avalon Dr, Goodyear, AZ 85395-8315 | 2015-10-23 |
| 1497164388 | Michael Maestas | Radiologic Technologist | 4291 N Campbell Ave, Tucson, AZ 85719 | 2014-08-05 |
| 1679991749 | Heather Ann Lemons | Radiologic Technologist | 167 Noth Main Street, Tuba City, AZ 86045-0600 | 2014-04-04 |
| 1386926798 | Ben S Stehower | Radiologic Technologist | 805 Whipple St Ste A, Prescott, AZ 86301-1617 | 2011-09-12 |
| 1851607675 | Sheila Diane Andrea | Radiologic Technologist | 11405 N Crestview St., Flagstaff, AZ 86004-5215 | 2010-08-31 |
| 1861689804 | Rene Adan Nunez | Radiologic Technologist | 3601 South 6th Avenue (9-05), Tucson, AZ 85723 | 2007-10-03 |
| 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.