STACEY HERMAN (NPI# 1023394020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023394020 |
| Entity Type | Individual |
| Full Name | STACEY HERMAN |
| Credential | LPN |
| Practice Address |
5390 E Avon Rd Apt. 4 Avon NY 14414-1456 |
| Practice Telephone | 5854383004 |
| Mailing Telephone | 5854383004 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 279727-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316901887 | Stacey E Herman | Physician Assistant | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-04-13 |
| Street Address |
5390 E AVON RD APT. 4 |
| City | AVON |
| State | NY |
| Zip Code | 14414-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205059185 | Peter J. Dolan | Physician Assistant | 2077 Lakeville Rd, Suite 3, Avon, NY 14414 | 2007-04-10 |
| 1710053335 | Steven Richard Bruno | Dentist | 478 Collins Street, Avon Family Dental Care, Avon, NY 14414 | 2006-11-27 |
| 1225146640 | Michael Kevin Oros | Dentist | 39 West Main Street, Avon, NY 14414 | 2006-08-26 |
| 1275854556 | Wesley Herrick Marean IIi | Occupational Therapy Assistant | 17 Bronson Ave, Avon, NY 14414-1001 | 2010-06-21 |
| 1114334026 | Heather Marie Lynn Gerace | Specialist/Technologist | 96 High St, Avon, NY 14414-1004 | 2014-07-14 |
| 1588986277 | Theresa M Rosa | Licensed Practical Nurse | 45 High St, Apt. 1, Avon, NY 14414-1070 | 2010-02-22 |
| 1265886097 | Carol Schrader | Registered Nurse | 15 Wadsworth Ave, Avon, NY 14414-1123 | 2016-04-18 |
| 1275959447 | Michelle Fries | Specialist | 87 Wadsworth Ave, Avon, NY 14414-1125 | 2014-03-12 |
| 1437245255 | Richard Lynn Schillinger | Dentist | 74 W Main St, Avon, NY 14414-1136 | 2006-10-05 |
| 1366533887 | Stephanie Lynn Burroughs | Dentist | 74 W Main St, Avon, NY 14414-1136 | 2006-09-28 |
| Find all providers in zip 14414 | ||||
| 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 |
|---|---|---|---|---|
| 1831713510 | Joanna Collins | Licensed Practical Nurse | 4820 Darby Rd, Avon, NY 14414-9634 | 2020-05-29 |
| 1477198232 | Michelle Wing | Licensed Practical Nurse | 5741 S Lima Rd, Avon, NY 14414-9609 | 2019-11-15 |
| 1003348814 | Kellie West | Licensed Practical Nurse | 32 Harper Pkwy, Avon, NY 14414-9568 | 2017-03-30 |
| 1538430475 | Kelvin Alan Turner | Licensed Practical Nurse | 10166 Foxfield Ln Apt L, Avon, IN 46123-1171 | 2012-01-24 |
| 1144475120 | Kristen Roemer | Licensed Practical Nurse | 1673 Elm Dr, Avon, OH 44011-1474 | 2008-11-18 |
| 1447423330 | Linda Marie Poprocki-jake | Licensed Practical Nurse | 38585 Thorton Ln, Avon, OH 44011-5208 | 2008-04-11 |
| 1588986277 | Theresa M Rosa | Licensed Practical Nurse | 45 High St, Apt. 1, Avon, NY 14414-1070 | 2010-02-22 |
| 1194913210 | Eileen Mary Dickson | Licensed Practical Nurse | 385 West Main Street, Avon, CT 06001 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.