STACEY LYNN NELSON


Address: 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482
Phone: 9287732505

STACEY LYNN NELSON (NPI# 1912187329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912187329
Entity Type Individual
Full Name STACEY LYNN NELSON
Credential CRNA
Practice Address 77 W Forest Ave Ste 117
Flagstaff
AZ 86001-1482
Practice Telephone 9287732505
Practice Fax Number 9287732504
Mailing Telephone 9287732505
Mailing Fax Number 9287732504
Enumeration Date 2007-11-14
Last Update Date 2018-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 078032 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 295431 05

Other Providers STACEY NELSON

NPI Name Taxonomy Address Enumeration
1922489723 Stacey D Nelson Social Worker 11048 Cardiff Ln, Frisco, TX 75035-6673 2015-06-17
1215346259 Stacey Nelson Counselor 4215 9th Ave S, Fargo, ND 58103-2018 2014-08-04
1740546050 Stacey Nelson Licensed Practical Nurse 2634 Pearl St, Detroit, MI 48209-3700 2012-04-11
1609942655 Stacey Nelson Social Worker 4371 E 72nd Ave, Commerce City, CO 80022-1471 2006-11-28
1033293279 Stacey J Nelson Marriage & Family Therapist 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 2006-10-24
1598204109 Stacey Nelson Registered Nurse 777 Murphy Rd, Medford, OR 97504-8425 2017-02-15
1770839029 Stacey Nelson Registered Nurse 1704 E Broadway Ave, Maryville, TN 37804 2012-07-24
1225384589 Stacey White Nelson Counselor 1307 E Elm St, Athens, AL 35611-5318 2012-07-24
1760790828 Stacey Lynn Nelson Psychologist 11280 86th Ave N, Maple Grove, MN 55369-4510 2010-09-22
1538292834 Stacey Nelson Counselor 914 E Broadway, Louisville, KY 40204-1037 2007-03-14

Office Location

Street Address 77 W FOREST AVE STE 117
City FLAGSTAFF
State AZ
Zip Code 86001-1482

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700824406 Forest Country Anesthesia, P.C. Anesthesiology 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 2006-06-03
1164822920 Mathias Darrell Rupp Registered Nurse 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 2014-08-29
1083054936 Benjamin Schumacher Anesthesiology 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 2013-06-25
1275801870 Jacob Payne Smith Registered Nurse 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 2011-12-09
1396061842 Michelle L Cardon Nurse Anesthetist, Certified Registered 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 2010-04-08
1861671901 Sarah Lynn Reed Nurse Anesthetist, Certified Registered 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 2007-10-25
1972511608 Samantha Ann Buchika Anesthesiology 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 2006-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
1962033712 Laura-lee Prescott Social Worker Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 2020-01-30
1194360784 Trinity Medical Consultants Pllc Internal Medicine 1521 N Cliff Drive, Flagstaff, AZ 86001 2019-11-07
1154849610 Altacare, LLC Family Medicine 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 2017-09-05
1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
1255860763 Welbrook Senior Living Flagstaff LLC Skilled Nursing Facility 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 2017-06-08
1912432675 Ryan Tiscareno Specialist/Technologist 621 West Cherry Ave, Flagstaff, AZ 86001 2017-05-01
1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
1932592599 Kristen Flugstad Psyd, LLC Psychologist 125 East Elm Avenue #203, Flagstaff, AZ 86001 2015-03-06
Find all providers in zip 86001

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770846669 Peter Gilbert Brainard Nurse Anesthetist, Certified Registered 77 W Forest Ave Ste 207, Flagstaff, AZ 86001-1483 2012-06-17
1639252125 Jennifer A Crownhart Nurse Anesthetist, Certified Registered 1020 N. San Francisco St., Flagstaff, AZ 86001 2006-10-20
1285240515 Amika Noel Nurse Anesthetist, Certified Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-09-22
1124649389 Southwest Anesthesia Partners, LLC Nurse Anesthetist, Certified Registered 501 N Switzer Canyon Dr, Flagstaff, AZ 86001-4845 2020-04-29
1003268749 Elizabeth Gilmore Nurse Anesthetist, Certified Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2016-07-06
1487018776 Paul Burgi Nurse Anesthetist, Certified Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2016-04-12
1255796454 Elizabeth Parker Nurse Anesthetist, Certified Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2015-12-15
1427487289 Integrated Anesthesia Services, LLC Nurse Anesthetist, Certified Registered 350 N Switzer Canyon Dr, Flagstaff, AZ 86001-4826 2013-11-02
1730429028 Mandy L Hilgeman Nurse Anesthetist, Certified Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2013-02-22
1083958284 Ophthalmic Anesthesia Services Nurse Anesthetist, Certified Registered 350 N Switzer Canyon Dr, Flagstaff, AZ 86001-4826 2012-11-12
Find all providers in FLAGSTAFF

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

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.

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