STACY NIXON (NPI# 1962966564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962966564 |
| Entity Type | Individual |
| Full Name | STACY NIXON |
| Credential | LPN |
| Practice Address |
1615 Johnson St Ste C Jennings LA 70546-3650 |
| Practice Telephone | 3376160225 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 20150338 | LA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 20150338 | 05 |
| Street Address |
1615 JOHNSON ST STE C |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043543085 | Carla N Boudreaux | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2009-09-09 |
| 1326686627 | Kiala Singleton | Case Manager/Care Coordinator | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2019-12-17 |
| 1861054728 | Yolanda Poullard | Case Manager/Care Coordinator | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2019-07-01 |
| 1134671027 | Lanore Spain | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2016-10-26 |
| 1972977999 | Amy Cormier | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-16 |
| 1952775918 | Berkina Prudhomme | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-13 |
| 1902279565 | Michael Guillory | Social Worker | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-04 |
| 1235502055 | Tiffany Nash | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-11-02 |
| 1588036453 | James Mrak | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-10-30 |
| 1043682966 | Shelly Lewis | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625678 | Jenna Nelson | Licensed Practical Nurse | 194 Austins Rd, Minden, LA 71055-7673 | 2020-10-07 |
| 1205449774 | Kendra Bradford | Licensed Practical Nurse | 6525 Park Manor Dr Apt 42, Metairie, LA 70003-3959 | 2020-08-25 |
| 1083227607 | Bridgette Lynette Litton | Licensed Practical Nurse | 1037 Highland Dr, Mansfield, LA 71052-4809 | 2020-08-24 |
| 1306458575 | Georgia K Papizan | Licensed Practical Nurse | 13909 Florida Blve, Livingston, LA 70754 | 2020-08-19 |
| 1902416811 | Krystal Murphy Henderson | Licensed Practical Nurse | 31450 Walker Rd N, Walker, LA 70785-5105 | 2020-08-05 |
| 1659981686 | Elizabeth Joy Martin | Licensed Practical Nurse | 36079 La Highway 16, Denham Springs, LA 70706-0599 | 2020-08-04 |
| 1710505367 | Keishea Mitchell | Licensed Practical Nurse | 3184 Harrison St, Vacherie, LA 70090-7035 | 2020-07-09 |
| 1982228284 | Delana Patrics Fontenot | Licensed Practical Nurse | 2438 Jake Dr Apt 4b, Opelousas, LA 70570-7719 | 2020-06-02 |
| 1821625757 | Shacarria Nashelle Owens | Licensed Practical Nurse | 1121 Heatherwood Dr, Shreveport, LA 71107-5534 | 2020-03-23 |
| 1508492216 | Jesscia Elizabeth Sanders | Licensed Practical Nurse | 3631 Elysian Fields Ave, New Orleans, LA 70122-4553 | 2020-03-14 |
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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.