MICHELLE GOMEZ STUCKY (NPI# 1982110813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982110813 |
Entity Type | Individual |
Full Name | MICHELLE GOMEZ STUCKY |
Other Name | MICHELLE SERRATA STUCKY |
Credential | MSN, WHNP-BC, IBCLC |
Practice Address |
1235 Ramsey St Fayetteville NC 28301-4401 |
Mailing Address |
22 Commando Ave Fort Bragg NC 28307-1532 |
Practice Telephone | 9104333600 |
Mailing Telephone | 2543388084 |
Enumeration Date | 2017-12-14 |
Last Update Date | 2017-12-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
5010112 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1235 RAMSEY ST |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28301-4401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306846191 | Kelly Fogarty Mergy | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2005-07-22 |
1548800352 | Yalonda Marie Moore | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2020-01-09 |
1467919613 | Ankita Patel | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2019-02-25 |
1104334077 | Michelle Nicola Jennings | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2018-01-13 |
1780074385 | Cumberland County Dept of Public Health | Clinic/Center | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2015-02-03 |
1265853048 | Torica Fuller | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2013-12-23 |
1316376106 | Sherece Dyer | Registered Nurse | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2013-11-02 |
1821341124 | Ann Maria Bell | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2012-10-24 |
1164708947 | Ava Annette Johnson | Dietitian, Registered | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2011-10-25 |
1255644464 | Heidi Lynn Maxwell | Dietitian, Registered | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2010-07-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
Find all providers in zip 28301 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023575818 | Janet Cole | Nurse Practitioner | 916 Our St, Fayetteville, NC 28314-8475 | 2019-02-27 |
1083836886 | Linda Mckennon Smith | Nurse Practitioner | 3729 N Crossover Rd, Suite 107, Fayetteville, AR 72703-4582 | 2007-05-02 |
1831249986 | County of Cumberland | Nurse Practitioner | 1235 Ramsey Street, Fayetteville, NC 28301-4401 | 2007-01-11 |
1821010364 | Carolyn Ann Pollock | Nurse Practitioner | 3270 N Wimberly Dr, Fayetteville, AR 72703-4032 | 2006-07-24 |
1386623361 | Dawn Fowler Barnes | Nurse Practitioner | 2915 Raeford Rd, Ste 203, Fayetteville, NC 28303-5508 | 2006-01-10 |
1114583101 | Yvonne Conaway | Nurse Practitioner | 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 | 2019-05-15 |
1447763222 | Kristiana Gregg | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2017-11-15 |
1497047658 | Heidi Lynn Lowder | Nurse Practitioner | 2817 Reilly Rd, Fayetteville, NC 28310 | 2011-05-06 |
1275855504 | Lindsey L Witt | Nurse Practitioner | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2010-03-01 |
1285963942 | Shawn Lynese Smith | Nurse Practitioner | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2009-12-09 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28301 |
Please comment or provide details below to improve the information on MICHELLE GOMEZ STUCKY.
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.