STACY NEW (NPI# 1013442250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013442250 |
| Entity Type | Individual |
| Full Name | STACY NEW |
| Practice Address |
2208 W Roosevelt Blvd Monroe NC 28110-2762 |
| Mailing Address |
515 Clanton Rd Charlotte NC 28217-1309 |
| Practice Telephone | 7042899869 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
A12610 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2208 W ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487683454 | Emily J Rayes-prince | Physical Medicine & Rehabilitation | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2006-07-02 |
| 1528585023 | Tiara Price | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2017-08-25 |
| 1134664238 | Amy Lynn Grybush Martin | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2016-12-28 |
| 1083095509 | Kellee Gahan | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2015-06-10 |
| 1881091932 | Christie Simons | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2014-12-04 |
| 1275940025 | Jessica Tucker | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2014-07-14 |
| 1689080178 | Bryan Graham | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2014-07-07 |
| 1407299860 | Gina Demaio | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2013-04-16 |
| 1750620688 | Kristi Morgan | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2013-02-13 |
| 1891034633 | Shanna Mary Daros | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2013-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902060 | Lisa Tolmich Haughey | Counselor | 2658 Sleepy Hollow Rd, Monroe, GA 30655-5584 | 2020-04-28 |
| 1487280764 | Hope and Purpose Counseling LLC | Counselor | 204 S Macomb St, Monroe, MI 48161-2121 | 2020-03-18 |
| 1154956688 | Joseph Danso Manu | Counselor | 115 E Fambrough St Apt 123b, Monroe, GA 30655-2858 | 2020-03-05 |
| 1699314997 | John Samaha | Counselor | 1518 11th St Ste 1-4, Monroe, WI 53566-1701 | 2020-01-03 |
| 1760039549 | Tom Wayne Triplett | Counselor | 2321 Highway 80 East, Monroe, LA 71203-7120 | 2019-08-26 |
| 1881255347 | Elnita Totarsha Ottey | Counselor | 2908 Eagle View Ln, Monroe, NC 28110-6315 | 2019-06-25 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1841774056 | Life Healing Therapy, LLC Lauren M Fontana Sole Mbr | Counselor | 324 Elm St Ste 105b, Monroe, CT 06468-2283 | 2018-09-24 |
| 1477030310 | Oscar Kelly | Counselor | 111 E 1st St Ste 200, Monroe, MI 48161-2265 | 2018-07-24 |
| 1972090413 | Sharyn Stokes | Counselor | 116 E Phifer St, Monroe, NC 28110-3035 | 2018-04-19 |
| Find all providers in MONROE | ||||
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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.