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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704080504 | MI | Nursing Service Providers |
Street Address |
2025 S WASHINGTON AVE |
City | LANSING |
State | MI |
Zip Code | 48910-0828 |
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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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 Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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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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.