STACEY M JOHNSON (NPI# 1003116997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003116997 |
| Entity Type | Individual |
| Full Name | STACEY M JOHNSON |
| Credential | APRN |
| Practice Address |
12605 E 16th Ave Fl Aip23 Aurora CO 80045-2545 |
| Mailing Address |
12605 E 16th Ave Aip2, 3rd Flr Aurora CO 80045-2545 |
| Practice Telephone | 7208480000 |
| Mailing Telephone | 3037240922 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 45553 | KS | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN.0992611.NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871004382 | Stacey Lin Johnson | Counselor | 303 N Burlington Ave Ste C, Hastings, NE 68901-5085 | 2017-10-24 |
| 1225586126 | Stacey Johnson | Community Health Worker | 30422 Laurelwood Ln, Wesley Chapel, FL 33543-4452 | 2016-09-20 |
| 1083020614 | Stacey Elizabeth Johnson | Counselor | 3419 Ne Sandy Blvd., Portland, OR 97232-1959 | 2014-07-03 |
| 1083036206 | Stacey Johnson | Marriage & Family Therapist | 1056 W 49th St, Los Angeles, CA 90037-2922 | 2014-01-07 |
| 1689005993 | Stacey Johnson | Nurse Practitioner | 4301 W Markham St # 519, Little Rock, AR 72205-7101 | 2013-12-12 |
| 1033442918 | Stacey K Johnson | Registered Nurse | 150 Landers St, Apt 2, San Francisco, CA 94114-4706 | 2009-09-10 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1467656199 | Stacey Ann Johnson | Speech-Language Pathologist | 2922 N Seeley Ave, Chicago, IL 60618-8211 | 2007-06-14 |
| 1003441379 | Stacey Johnson | Early Intervention Provider Agency | 1002 S Dillard St Ste 106, Winter Garden, FL 34787-3991 | 2020-03-06 |
| 1154951192 | Stacey Lynne Johnson | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-01-17 |
| Street Address |
12605 E 16TH AVE FL AIP23 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955866 | Kyla Araujo | Nurse Practitioner | 3888 S Quatar St, Aurora, CO 80018-3158 | 2019-07-29 |
| 1679090526 | Melissa Jean Boehner | Nurse Practitioner | 1665 Aurora Ct Fl 2, Aurora, CO 80045-2517 | 2017-08-22 |
| 1780100891 | Sofia Goli | Nurse Practitioner | 18525 E Smoky Hill Rd Ste C, Aurora, CO 80015-3109 | 2017-08-21 |
| 1265890172 | Sarah L Scott | Nurse Practitioner | 13123 E 16th Ave # B615, Aurora, CO 80045-7106 | 2016-02-05 |
| 1134551062 | Advanced Practice Clinical Medicine Group | Nurse Practitioner | 18680 E Powers Dr, Aurora, CO 80015-5125 | 2013-08-01 |
| 1912240078 | Elizabeth Claire Threet | Nurse Practitioner | 13123 E 16th Ave # 100, Aurora, CO 80045-7106 | 2013-03-27 |
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1366049116 | Laurie Lahr | Nurse Practitioner | 12401 E 17th Ave, Aurora, CO 80045-2548 | 2020-10-05 |
| 1780200907 | Amanda Marie Miller-sarmento | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-23 |
| 1982220349 | Rocco James Miele | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on STACEY M JOHNSON.
| 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.