STACEY JOHNSON (NPI# 1003441379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003441379 |
| Entity Type | Individual |
| Full Name | STACEY JOHNSON |
| Practice Address |
1002 S Dillard St Ste 106 Winter Garden FL 34787-3991 |
| Mailing Address |
93 Hillside Dr Eustis FL 32726-7614 |
| Practice Telephone | 4078770029 |
| Practice Fax Number | 4073585207 |
| Mailing Telephone | 3526384583 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| 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 |
| 1003116997 | Stacey M Johnson | Registered Nurse | 12605 E 16th Ave Fl Aip23, Aurora, CO 80045-2545 | 2010-10-26 |
| 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 |
| 1154951192 | Stacey Lynne Johnson | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-01-17 |
| Street Address |
1002 S DILLARD ST STE 106 |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518131630 | Kristy Marie Gillham | Occupational Therapist | 1002 S Dillard St Ste 106, Winter Garden, FL 34787-3991 | 2008-04-18 |
| 1396166468 | Samantha Stern | Occupational Therapist | 1002 S Dillard St Ste 106, Winter Garden, FL 34787-3991 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922210509 | Kelley June Deturo | Early Intervention Provider Agency | 13124 S Sunset Ter, Winter Garden, FL 34787-9675 | 2007-05-04 |
| 1497314504 | Charlot Marie Manderson | Early Intervention Provider Agency | 1002 S Dillard St, Winter Garden, FL 34787-3991 | 2019-06-12 |
| 1750876264 | Janice Massey Lewis | Early Intervention Provider Agency | 214 S Dillard St, Winter Garden, FL 34787-3523 | 2018-06-27 |
| 1679078752 | Little Champions Therapy and Services | Early Intervention Provider Agency | 1922 Lake Roberts Landing Dr, Winter Garden, FL 34787-5579 | 2018-03-29 |
| 1609381847 | Stephanie Marie Figueroa Cruz | Early Intervention Provider Agency | 1922 Lake Roberts Landing Dr, Winter Garden, FL 34787 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980561 | Paola Marisela Hernandez | Early Intervention Provider Agency | 6207 River Fruit Ct, Windermere, FL 34786-7325 | 2020-10-22 |
| 1770182966 | Maitelyn Salgado Sr. | Early Intervention Provider Agency | 145 Nw Central Park Plz Ste 104, Port St Lucie, FL 34986-2482 | 2020-10-20 |
| 1861007593 | Zena Figueroa Rios | Early Intervention Provider Agency | 4240 Prima Lago Dr, Lakeland, FL 33810-3063 | 2020-09-10 |
| 1679183974 | Impact Rehab LLC | Early Intervention Provider Agency | 10104 Sandywood Dr, Sanford, FL 32771-7246 | 2020-08-03 |
| 1235752460 | Wheat L L C | Early Intervention Provider Agency | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| 1699397570 | Baruch Shem LLC | Early Intervention Provider Agency | 27802 Sw 134th Ct, Homestead, FL 33032-8256 | 2020-05-13 |
| 1710513023 | Lacy Bussey | Early Intervention Provider Agency | 700 N Courtenay Pkwy Apt 527, Merritt Island, FL 32953-5401 | 2020-03-18 |
| 1790310605 | Courtney M Lopez | Early Intervention Provider Agency | 6719 Ne 33rd Ct, Ocala, FL 34479-1423 | 2020-03-11 |
| 1942835152 | Robin M Boshnick | Early Intervention Provider Agency | 8540 Briar Rose Pt, Boynton Beach, FL 33473-7819 | 2020-03-08 |
| 1447884663 | Emily Garratt | Early Intervention Provider Agency | 8624 Primrose Dr, Kissimmee, FL 34747-1648 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
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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.