STACY L HANNEMANN (NPI# 1992763536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992763536 |
| Entity Type | Individual |
| Full Name | STACY L HANNEMANN |
| Other Name | STACY LYNN JENSEN |
| Credential | OT |
| Practice Address |
1812 N Lakewood Dr Ste 100 Coeur D Alene ID 83814-2635 |
| Mailing Address |
1875 N Lakewood Dr #101 Coeur D'alene ID 83814-2669 |
| Practice Telephone | 2089664476 |
| Practice Fax Number | 2089664475 |
| Mailing Telephone | 2086676264 |
| Mailing Fax Number | 2086644313 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT-1767 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1812 N LAKEWOOD DR STE 100 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842517 | Joseph T Kersh | Physical Therapist | 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 | 2020-08-18 |
| 1144844697 | Jason Michael Valois | Physical Therapist | 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 | 2020-06-01 |
| 1841646056 | Cristen J Schmidt | Physical Therapist | 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 | 2016-05-05 |
| 1568599215 | Tyler Mitchell Baxter | Physical Therapist | 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316006182 | North Idaho Hand Rehabilitation, Pllc | Occupational Therapist | 943 W Ironwood Dr Ste 100, Coeur D Alene, ID 83814-4904 | 2006-12-08 |
| 1306851969 | Robert Swider | Occupational Therapist | 920 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814-2643 | 2006-07-30 |
| 1699087346 | Idaho Hand & Upper Extremity Therapy | Occupational Therapist | 920 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814-2643 | 2010-07-10 |
| 1780881516 | Kristen Leigh Pedersen | Occupational Therapist | 920 W Ironwood Dr, Suite 207, Coeur D Alene, ID 83814-2463 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851653901 | Advanced Hand Therapy PC | Occupational Therapist | 840 Addison Ave, Twin Falls, ID 83301-5203 | 2012-06-14 |
| 1023074739 | Cheryl E Rodnick | Occupational Therapist | 1950 E Clark St, Stf, Pocatello, ID 83201-3314 | 2006-04-21 |
| 1316548555 | Sue Kunkel | Occupational Therapist | 564 S Woodruff Ave, Idaho Falls, ID 83401-5298 | 2020-11-04 |
| 1821606419 | Savannah Diaz | Occupational Therapist | 901 N Curtis Rd Ste 204, Boise, ID 83706-1340 | 2020-07-20 |
| 1083262042 | Kokua Rehabilitation | Occupational Therapist | 444 Hospital Way Ste 720, Pocatello, ID 83201-2717 | 2019-09-03 |
| 1003279357 | Kylee Michelle Permann | Occupational Therapist | 560 Memorial Dr Ste B, Pocatello, ID 83201-4073 | 2016-04-04 |
| 1770642456 | Debra Jill Walker Satren | Occupational Therapist | 8836 N Hess St, Suite F, Hayden, ID 83835-8718 | 2006-12-08 |
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on STACY L HANNEMANN.
| 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.