STACY SIMON (NPI# 1891182416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891182416 |
| Entity Type | Individual |
| Full Name | STACY SIMON |
| Practice Address |
2150 Town Square Pl Suite 290 Sugar Land TX 77479-1465 |
| Mailing Address |
1511 30th St W Bradenton FL 34205-3945 |
| Practice Telephone | 2817686730 |
| Practice Fax Number | 2817686766 |
| Mailing Telephone | 9415265383 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558596130 | Stacy Lynn Simon | Psychologist | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2009-05-26 |
| Street Address |
2150 TOWN SQUARE PL SUITE 290 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306155213 | Lindsey Diaz | Specialist/Technologist, Other | 2150 Town Square Pl, Suite 290, Sugar Land, TX 77479-1465 | 2010-09-28 |
| 1235687468 | Carlin Maxwell | Specialist/Technologist, Other | 2150 Town Square Pl, Suite 290, Sugar Land, TX 77479-1465 | 2016-09-16 |
| 1205384617 | Lena Zerangue | Specialist/Technologist, Other | 2150 Town Square Pl, 290, Sugar Land, TX 77479-1465 | 2016-09-14 |
| 1174957203 | Melissa Chaney | Specialist/Technologist, Other | 2150 Town Square Pl, Suite 290, Sugar Land, TX 77479-1465 | 2013-08-26 |
| 1518219518 | Jessica Ellen Szczesny | Specialist/Technologist, Other | 2150 Town Square Pl, Suite 290, Sugar Land, TX 77479-1465 | 2012-10-15 |
| 1720345382 | Stevie Stringfellow | Specialist/Technologist, Other | 2150 Town Square Pl, Suite 290, Sugar Land, TX 77479-1465 | 2012-04-19 |
| 1619255353 | William R. Mccann | Specialist/Technologist, Other | 2150 Town Square Pl, Suite 290, Sugar Land, TX 77479-1465 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133613 | Timothy Patrick Coleman | Specialist/Technologist, Other | 77 Sugar Creek Center Blvd Ste 510, Sugar Land, TX 77478-3673 | 2017-09-27 |
| 1396294377 | Caitlin Elizabeth Ohman | Specialist/Technologist, Other | 5927 Quiet Point Ln, Sugar Land, TX 77479-3752 | 2016-10-01 |
| 1215387303 | Melissa Larson | Specialist/Technologist, Other | 2150 Town Square Pl Ste 250, Sugar Land, TX 77479-1676 | 2016-06-20 |
| 1356639918 | Lillian Margaret Wilder | Specialist/Technologist, Other | 2150 Town Square Place, Suite 290, Sugar Land, TX 77479-1643 | 2011-07-18 |
| 1275839128 | Marisa Alana Goddard | Specialist/Technologist, Other | 11405 White Forge Ct, Sugar Land, TX 77498-0903 | 2011-02-09 |
| 1336442946 | Kenya Pearce | Specialist/Technologist, Other | 2150 Town Square Place Suite 290, Sugar Land, TX 77479-1643 | 2010-12-21 |
| 1306155213 | Lindsey Diaz | Specialist/Technologist, Other | 2150 Town Square Pl, Suite 290, Sugar Land, TX 77479-1465 | 2010-09-28 |
| 1487988531 | Neurovision Technologies Lp | Specialist/Technologist, Other | 1449 Highway 6 Ste 300, Sugar Land, TX 77478-5146 | 2009-09-22 |
| 1679702112 | Spine Monitoring Associates Lp | Specialist/Technologist, Other | 1449 Highway 6, Suite 300, Sugar Land, TX 77478 | 2009-07-06 |
| 1497909840 | Giselle Gabrielle Rackley | Specialist/Technologist, Other | 2150 Town Square Pl Ste 290, Sugar Land, TX 77479-1643 | 2008-11-12 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
Please comment or provide details below to improve the information on STACY SIMON.
| 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.