STACIE LYNN KROM (NPI# 1003461856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003461856 |
| Entity Type | Individual |
| Full Name | STACIE LYNN KROM |
| Credential | LPN |
| Practice Address |
3 Charles St Ellenville NY 12428-2303 |
| Mailing Address |
7062 Route 209 Kerhonkson NY 12446-2957 |
| Practice Telephone | 3219464541 |
| Mailing Telephone | 3219464541 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 277782-1 | NY | Nursing Service Providers |
| Street Address |
3 CHARLES ST |
| City | ELLENVILLE |
| State | NY |
| Zip Code | 12428-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497233720 | Chelsea O'dell | Licensed Practical Nurse | 3 Charles St, Ellenville, NY 12428-2303 | 2018-07-30 |
| 1235571209 | Catherine Hodges | Licensed Practical Nurse | 3 Charles St, Ellenville, NY 12428-2303 | 2013-07-19 |
| 1427334648 | Erin Patricia Vandemark | Registered Nurse | 3 Charles St, Ellenville, NY 12428-2303 | 2011-11-02 |
| 1730489089 | Kristin Anne Mcmillan | Licensed Practical Nurse | 3 Charles St, Ellenville, NY 12428 | 2010-11-02 |
| 1508059684 | Jennifer Rose Coutant | Registered Nurse | 3 Charles St, Ellenville, NY 12428-2303 | 2007-08-22 |
| 1154540623 | Patricia Kjos | Registered Nurse | 3 Charles St, Ellenville, NY 12428-2303 | 2007-04-24 |
| 1407976426 | Veronica Louise Musa | Registered Nurse | 3 Charles St, Ellenville, NY 12428-2303 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649789900 | Finding My Solutions LLC | Clinic/Center | 4 Glenwood Drive, Ellenville, NY 12428 | 2017-09-29 |
| 1356864128 | Joseph and Elena Tompkins | Taxi | 73 Center Street, 73 Center Street - Po Box 222, Ellenville, NY 12428 | 2017-07-24 |
| 1598130296 | Joyce Valdez | Licensed Practical Nurse | 80 Wintish Road, Ellenville, NY 12428 | 2015-12-07 |
| 1386943389 | Angela Dinozzi | Social Worker | 83 North Main Street, Ellenville, NY 12428 | 2011-03-17 |
| 1396984001 | Krystyna W. Slosarska | Dentist | 55 Center Street, Ellenville, NY 12428 | 2009-02-19 |
| 1063676336 | Jessica J Richmond | Licensed Practical Nurse | 11 Rear Chapel St, Ellenville, NY 12428 | 2008-07-15 |
| 1447332697 | Damian Family Care Centers, Inc. | Clinic/Center | 751 Briggs Highway, Ellenville, NY 12428 | 2006-10-19 |
| 1316032964 | Julie S Lonstein | Counselor | 1 Terrace Hill, Ellenville, NY 12428 | 2006-10-03 |
| 1871687384 | Walter Leonard Sperling | Internal Medicine | 60 Center Street, Ellenville, NY 12428 | 2006-10-02 |
| 1770537623 | Sang Eun Lee | Physical Therapist | 10 Healthy Way, Ellenville, NY 12428 | 2006-05-22 |
| Find all providers in zip 12428 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326506346 | Jaclyn Martinez | Licensed Practical Nurse | 9 Cape Ave, Ellenville, NY 12428-1205 | 2019-03-08 |
| 1689155392 | Laasia Tiana Pugh-miller | Licensed Practical Nurse | 408 Mountain View Ln, Ellenville, NY 12428-1078 | 2018-08-22 |
| 1447784277 | Lizzette Velez | Licensed Practical Nurse | 27 Market St Apt 1, Ellenville, NY 12428-2152 | 2017-04-18 |
| 1770026817 | Lynn Ann Thomas | Licensed Practical Nurse | 8 Ann St Apt 1, Ellenville, NY 12428-2202 | 2016-11-21 |
| 1558714014 | Jeanette Vargas-valencia | Licensed Practical Nurse | 2 Warren St, Ellenville, NY 12428-2017 | 2016-07-20 |
| 1598130296 | Joyce Valdez | Licensed Practical Nurse | 80 Wintish Road, Ellenville, NY 12428 | 2015-12-07 |
| 1376883314 | Natasha Shorter-copeland | Licensed Practical Nurse | 209 Center St Apt 2, Ellenville, NY 12428-1716 | 2013-02-28 |
| 1760735419 | Sharon Christie Mura-naumchik | Licensed Practical Nurse | 9 Bartlett St, Ellenville, NY 12428-1501 | 2012-10-18 |
| 1295054880 | Erin L Pauls | Licensed Practical Nurse | 223 Hillside Ln, Ellenville, NY 12428-1061 | 2010-05-22 |
| 1750536777 | Sarita Ethel Bernstein | Licensed Practical Nurse | 12 Backman Ave, Apt. #3, Ellenville, NY 12428-1102 | 2008-11-18 |
| Find all providers in ELLENVILLE | ||||
| City | ELLENVILLE |
| Zip Code | 12428 |
Please comment or provide details below to improve the information on STACIE LYNN KROM.
| 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.