STACI RENEE THOMPSON (NPI# 1982821757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982821757 |
| Entity Type | Individual |
| Full Name | STACI RENEE THOMPSON |
| Credential | ARNP |
| Practice Address |
6015 Pointe West Blvd Bradenton FL 34209-5525 |
| Practice Telephone | 9417921404 |
| Practice Fax Number | 9417951717 |
| Mailing Telephone | 9419172600 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9169001 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FLORIDA | Y140P | 01 |
| FL | 308776000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417400755 | Staci Diane Thompson | Nurse Practitioner | 2330 S. Dixon Road, American Health Network, Kokomo, IN 46902 | 2016-08-03 |
| 1881085488 | Staci Thompson | Behavioral Analyst | 9929 E 126th St, Fishers, IN 46038-9404 | 2015-02-18 |
| Street Address |
6015 POINTE WEST BLVD |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894613 | Dana E Moulton | Occupational Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2005-07-14 |
| 1356989370 | Erin Sperling | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2019-12-20 |
| 1700361425 | Miranda Jane Anziano | Physical Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2018-09-27 |
| 1174022206 | Russell William White | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2018-02-05 |
| 1386168433 | Memory Smith | Nurse Practitioner | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2017-07-31 |
| 1164946752 | Courtney Johnson | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2017-07-26 |
| 1114467669 | Daniel Kalogeropoulos | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2017-03-02 |
| 1841663853 | Marie Stewart | Physical Therapist | 6015 Pointe West Blvd, Bradenton, FL 34209-5525 | 2015-11-12 |
| 1477931558 | Chelsea Anne Taylor | Physician Assistant | 6015 Pointe West Blvd, Bradenton, FL 34209 | 2015-05-11 |
| 1013313733 | Lakewood Ambulatory Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 6015 Pointe West Blvd, Ste 101, Bradenton, FL 34209-5525 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1639604556 | Jodie Lynn Dodge | Nurse Practitioner | 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 | 2017-04-28 |
| Find all providers in BRADENTON | ||||
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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.