STACIE LARAE DAVIS (NPI# 1982917613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982917613 |
| Entity Type | Individual |
| Full Name | STACIE LARAE DAVIS |
| Credential | RN |
| Practice Address |
101 E 26th St Tacoma WA 98421-1108 |
| Practice Telephone | 2535974550 |
| Mailing Telephone | 2535974550 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | RN60124885 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740510445 | Stacie Michelle Davis | Social Worker | 100 Brewster B Lvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2010-01-04 |
| 1609320738 | Stacie Brooke Davis | Pharmacist | 123 S Jackson St, Grove Hill, AL 36451-3007 | 2016-08-05 |
| 1942586375 | Stacie Lynn Davis | Registered Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2011-10-31 |
| 1790860559 | Stacie Davis | Counselor | 289 Independence Blvd, Suite 245, Virginia Beach, VA 23462-5493 | 2006-10-27 |
| Street Address |
101 E 26TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98421-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649213810 | Shera Mogri | Family Medicine | 101 E 26th St, Tacoma, WA 98421-1108 | 2006-06-14 |
| 1154635282 | Amanda Marie Lasher | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-30 |
| 1962716092 | Diana Garrett | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-30 |
| 1871807917 | Terry Lou Freed | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-30 |
| 1437463692 | Tina Michelle Gray | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-29 |
| 1518271774 | Marla K Griebenow | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-29 |
| 1063726222 | Leslee Noreen Rasmussen- Wiseman | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-29 |
| 1245544402 | Sharon Ann Mattson | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-29 |
| 1790099950 | Kara Jean Koehn | Registered Nurse | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-29 |
| 1588978092 | Marjorie Ann Kober | Case Manager/Care Coordinator | 101 E 26th St, Tacoma, WA 98421-1108 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942669338 | Beverly Ann Shell | Counselor | Fort Mcdermitt Wellness Center, Suite 702g, Mcdermitt, NV 98421 | 2016-02-15 |
| 1366408353 | Paul S Darby | Preventive Medicine | 1930 Port of Tacoma Rd., Franciscan Occupational Health, Tacoma, WA 98421 | 2006-04-26 |
| 1639176431 | Daniel James Gage | Physical Therapist | Physical Therapy Department,madigan Army Medical Center, Fort Lewis Washington, Tacoma, WA 98421 | 2005-07-07 |
| 1619309416 | Sara Ann Wendler | Counselor | 101 East 26th St, Suite 200, Tacoma, WA 98421-1108 | 2013-08-02 |
| 1790089001 | Maurice Patrick O'connor | Psychologist | 321 E 25th St, Tacoma, WA 98421-1300 | 2010-12-29 |
| 1295938066 | Sharron Elaine Cochran | Acupuncturist | 2601 E D St, Suite 303, Tacoma, WA 98421-1306 | 2007-06-07 |
| 1972737203 | Heather Dawn Draper-o'crotty | Massage Therapist | 2601 E D St, Suite #306, Tacoma, WA 98421-1306 | 2009-05-14 |
| 1841424652 | Kathryn Anne Moore | Massage Therapist | 404 E 26th St, Suite 105, Tacoma, WA 98421-1312 | 2009-05-07 |
| 1326298449 | Linda Sue Randall | Specialist | 404 E 26th St Ste 103, Tacoma, WA 98421-1312 | 2008-09-25 |
| 1013428432 | Seneca Family of Agencies | Community/Behavioral Health | 409 Puyallup Ave, Tacoma, WA 98421-1316 | 2017-10-12 |
| Find all providers in zip 98421 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1376180745 | Adriana Guzman | Case Manager/Care Coordinator | 1305 Tacoma Ave S Ste 202, Tacoma, WA 98402-1903 | 2019-12-04 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1174167688 | Carmen Banks | Case Manager/Care Coordinator | 721 Fawcett Ave Fl 3, Tacoma, WA 98402-5502 | 2019-10-29 |
| 1891357539 | Jeannette Twitty | Case Manager/Care Coordinator | 1127 Broadway Ste 10, Tacoma, WA 98402-3519 | 2019-07-02 |
| 1841755840 | Chelsea Perry | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 200, Tacoma, WA 98402-5502 | 2019-02-04 |
| 1265944326 | Erlinda Vergara | Case Manager/Care Coordinator | Bldg 2103 North Division, Tacoma, WA 98433 | 2017-10-30 |
| 1013429216 | Theresa A Gallo | Case Manager/Care Coordinator | Madigan Army Medical Center Hospital Dental Clinic, Tacoma, WA 98431-0001 | 2017-10-27 |
| 1235641598 | Solecia Lizama Cruz | Case Manager/Care Coordinator | 11572 17th & C St, Tacoma, WA 98433 | 2017-10-26 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| Find all providers in TACOMA | ||||
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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.