STACY TAN (NPI# 1982057980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982057980 |
| Entity Type | Individual |
| Full Name | STACY TAN |
| Practice Address |
535 Clinic Rd E Box Elder MT 59521-8826 |
| Practice Telephone | 4063954395 |
| Mailing Telephone | 4063954395 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 217537 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952827438 | Stacy Haunani Tan | Social Worker | 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2017-08-16 |
| Street Address |
535 CLINIC RD E |
| City | BOX ELDER |
| State | MT |
| Zip Code | 59521-8826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639870 | Krissa Kirby | Psychologist | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2005-09-12 |
| 1598152373 | Robert Ingram | Registered Nurse | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2015-04-20 |
| 1972993152 | Raeanne Wall | Registered Nurse | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2015-01-27 |
| 1437554151 | Vicki Ainsworth | Clinical Medical Laboratory | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-10-23 |
| 1851700025 | Timothy Rosette | Clinic/Center | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-08-12 |
| 1124434998 | Loni Whitford | Emergency Medical Technician, Basic | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-07-01 |
| 1104230416 | Tina King | Counselor | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-06-13 |
| 1770997199 | Carol Foster | Counselor | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-06-13 |
| 1184037707 | Gloria Little | Counselor | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-06-11 |
| 1245650761 | Kari Williams | Pharmacist | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864218 | Gary Palladino | Pharmacist | 5050 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-26 |
| 1821585209 | Lisa Marie Scheresky O'neil | Registered Nurse | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-04-20 |
| 1437592789 | Nat's Medical Supply | Assisted Living Facility | #74 Chestnut Street, Box Elder, MT 59521 | 2013-04-16 |
| 1215585294 | Kathleen Audrey Parsons | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-09-03 |
| 1962054957 | Chettha Paul Techo | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-10 |
| 1194219253 | Hilary Rose Warren | Dentist | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-06-21 |
| 1114461928 | Carol Jean Ortman | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2016-12-13 |
| 1225413545 | Kevin Zoren | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2015-07-28 |
| 1194111278 | Angi M Disalvo | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2015-04-15 |
| 1245441120 | Rocky Boy Health Board Clinic | Clinic/Center | Rr 1, Box Elder, MT 59521 | 2007-05-24 |
| Find all providers in zip 59521 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1497268197 | Kim Marie Edelbach | Licensed Vocational Nurse | 209 N 10th St Ste A, Hamilton, MT 59840-2357 | 2017-11-16 |
| 1720259393 | Frederic J Allrunner | Licensed Vocational Nurse | 107 H Street, Poplar, MT 59255 | 2008-03-21 |
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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.