CAROLE A STACY


Address: 2025 S Washington Ave, Lansing, MI 48910-0828
Phone: 8886860749

CAROLE A STACY (NPI# 1932715778) 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) 1932715778
Entity Type Individual
Full Name CAROLE A STACY
Credential RN
Practice Address 2025 S Washington Ave
Lansing
MI 48910-0828
Mailing Address 10425 River Rock Blvd
Dimondale
MI 48821-8781
Practice Telephone 8886860749
Mailing Telephone 5173318668
Enumeration Date 2020-09-17
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
4704080504 MI Nursing Service Providers

Office Location

Street Address 2025 S WASHINGTON AVE
City LANSING
State MI
Zip Code 48910-0828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952357865 Battle Creek Vamc Clinic/Center 2025 S Washington Ave, Lansing, MI 48910-0828 2006-05-25
1407454903 Melody Sutton Licensed Practical Nurse 2025 S Washington Ave, Lansing, MI 48910-0828 2020-10-15
1871190553 Gabrielle Richey Registered Nurse 2025 S Washington Ave, Lansing, MI 48910-0828 2020-10-06
1417561697 Erika Adel Poland Licensed Practical Nurse 2025 S Washington Ave, Lansing, MI 48910-0828 2020-09-03
1710508916 Patricia Vanderlip Registered Nurse 2025 S Washington Ave, Lansing, MI 48910-0828 2020-04-29
1205455185 Abigail Desmyter Physician Assistant 2025 S Washington Ave, Lansing, MI 48910-0828 2020-04-10
1720623507 Deborah Lyon Counselor 2025 S Washington Ave, Lansing, MI 48910-0828 2019-11-15
1407338668 Jason William Robinson Counselor 2025 S Washington Ave, Lansing, MI 48910-0828 2018-09-05
1952784696 Meaghan Gregg Social Worker 2025 S Washington Ave, Suite 210, Lansing, MI 48910-0828 2015-06-30
1386034239 Patricia Wood Counselor 2025 S Washington Ave, Suite 210, Lansing, MI 48910-0828 2015-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821604562 Wendy Lynne Hughes Licensed Practical Nurse 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 2020-09-18
1073146908 James Laroach Peer Specialist 913 W. Homes Suite 200, Lansing, MI 48910 2020-02-19
1487284279 Kourtia Nicole Munson Counselor 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 2020-01-21
1699248112 Cedar Pharmacy LLC Pharmacy 2513 S Cedar St., Lansing, MI 48910 2019-01-08
1134604390 Kazuho Kondo Student in an Organized Health Care Education/Training Program 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 2018-10-03
1477036655 Dalia Elgohary Pharmacist 5016 S Martin Luther King, Lansing, MI 48910 2018-09-13
1457856940 Derrick Lynn Byrd Social Worker 4305 S. Cedar St., Lansing, MI 48910 2018-03-27
1326564964 Lansing Health Supplies Durable Medical Equipment & Medical Supplies 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 2017-08-15
1265957203 Heather E Dover Dietitian, Registered 2510 Solomon Dr, Lansing, MI 48910 2017-08-10
1407307705 Elise Evans Occupational Therapist 2331 East Jolly Rd, Suite B, Lansing, MI 48910 2016-10-21
Find all providers in zip 48910

Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699123471 Kimberly Wells Registered Nurse 519 E Brook Dr, Newaygo, MI 49337-8573 2016-06-02
1023498409 Kelli Markarian Registered Nurse 9101 William St, Taylor, MI 48180-2822 2015-06-01
1881072395 Gregory Pula Registered Nurse 706 Pemberton Ln, Jackson, MI 49203-7127 2015-05-16
1215377304 Carol Ann Mcneil Registered Nurse 2800 Ore Valley Dr, Hartland, MI 48353-2810 2013-07-03
1336321215 Sandra Marion Stetz Registered Nurse 3483 Clintonville Rd, Waterford, MI 48329-2227 2007-12-03
1902088016 Pam Nemer Registered Nurse 7177 Magnolia Ln, Waterford, MI 48327-4421 2007-11-30
1760089148 Ambor Lynn Sanders Registered Nurse 1022 E Main St, Benton Harbor, MI 49022-3036 2020-10-08
1932711652 Renee N/a Pollard Registered Nurse 43825 Michigan Ave, Canton, MI 48188-2551 2020-08-24
1427660596 Larry Scott Fitzgerald Registered Nurse 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 2020-08-20
1992328371 Paula Lynn Hill Registered Nurse 1910 Shaffer St, Kalamazoo, MI 49048-1604 2020-05-20
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Competitor

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City LANSING
Zip Code 48910

Improve Information

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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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