PROF. STACEY MARIE BROWN (NPI# 1912087214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912087214 |
| Entity Type | Individual |
| Full Name | PROF. STACEY MARIE BROWN |
| Credential | PAC |
| Practice Address |
73888 Tallassee Hwy Wetumpka AL 36092-7308 |
| Mailing Address |
Po Box 1290 Wetumpka AL 36092-0022 |
| Practice Telephone | 3345676579 |
| Practice Fax Number | 3345675393 |
| Mailing Telephone | 3345676579 |
| Mailing Fax Number | 3345675393 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA252 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1225448301 | Stacey L. Brown | Social Worker | 2152 W Farragut Ave, Chicago, IL 60625-1204 | 2014-04-29 |
| 1164766408 | Stacey Brown | Social Worker | 2108 N Charles St, Baltimore, MD 21218-5709 | 2012-11-26 |
| 1508117623 | Stacey Brown | Home Health Aide | 6722 Hampton Dr, Cincinnati, OH 45236-3935 | 2012-09-28 |
| 1427314509 | Stacey D Brown | Counselor | 901 N Leatherleaf Loop Ste 103, Wasilla, AK 99654-6576 | 2012-04-03 |
| 1548401912 | Stacey Harris Brown | Occupational Therapist | 414 Benjamin Reid Ct, Duncan, SC 29334-9156 | 2009-03-16 |
| 1972643468 | Stacey Elizabeth Brown | Physical Therapist | 355th Medical Operations Squadron, Davis - Monthan Afb, Tucson, AZ 85707 | 2007-02-07 |
| 1982235123 | Stacey Brown | Behavior Technician | 8001 Sw 36th St Ste 9, Davie, FL 33328-1915 | 2020-01-27 |
| 1952958720 | Stacey Lynn Brown | Nurse Practitioner | 9201 E Mountain View Rd Ste 220, Scottsdale, AZ 85258-5172 | 2019-08-26 |
| 1245714682 | Stacey Brown | Registered Nurse | 5605 Corby St, Omaha, NE 68104-4127 | 2018-09-21 |
| Street Address |
73888 TALLASSEE HWY |
| City | WETUMPKA |
| State | AL |
| Zip Code | 36092-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195525 | River Region Family Medicine, LLC | Family Medicine | 277 Huntress Street, Suite 100, Wetumpka, AL 36092 | 2020-02-07 |
| 1710548003 | 2la, LLC | Hearing Instrument Specialist | 4354 Us Highway 231, Suite A, Wetumpka, AL 36092 | 2019-06-26 |
| 1124549308 | Medi - Rides Transport LLC | Non-emergency Medical Transport (VAN) | 173 Hill Street, Suite 103, Wetumpka, AL 36092 | 2017-06-28 |
| 1538699129 | Joni Smart | Pharmacist | 4538 Us Hwy 231, Wetumpka, AL 36092 | 2017-06-15 |
| 1134396898 | Blue Ridge Chiropractic, LLC | Chiropractor | 2412 Us Hwy 231, Wetumpka, AL 36092 | 2008-05-13 |
| 1932243565 | Patricia Dianne White Mcclanahan | Psychologist | 8476 U S Hwy 231 Admh Division of Intellectual Disabili, Comprehensive Support Svcs Riv & V, Wetumpka, AL 36092 | 2007-02-16 |
| 1952472607 | Wetumpka Family Practice Pa | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092 | 2006-11-13 |
| 1063429744 | Jim G Anderson | Chiropractor | 76299 Tallassee Hwy, Wetumpka, AL 36092 | 2006-08-02 |
| 1710908009 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5326 Hwy 231 South, Wetumpka, AL 36092 | 2006-07-21 |
| 1629011770 | Spencer J Coleman Sr. | Family Medicine | 73970 Tallassee Highway, Wetumpka, AL 36092 | 2006-06-14 |
| Find all providers in zip 36092 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639154 | Grace Blane Mcmahan | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2019-10-08 |
| 1013558147 | Advanced Provider Solutions, LLC | Physician Assistant | 245 Cobb Rd, Dothan, AL 36301-7504 | 2019-09-30 |
| 1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
| 1679031488 | Katie J Winfrey | Physician Assistant | 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 | 2019-03-11 |
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1952806499 | Christy L Franklin | Physician Assistant | 4305 Dolly Ridge Ln, Vestavia, AL 35243-1834 | 2018-03-27 |
| 1538662994 | Morgan Goss | Physician Assistant | 700 Montgomery Hwy Ste 194, Vestavia Hills, AL 35216-1879 | 2018-03-13 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1942748272 | Miranda Hornsby | Physician Assistant | 521 Montgomery Hwy Ste 117, Vestavia, AL 35216-1876 | 2017-02-07 |
| 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.