MRS. STACY SHANNON IRWIN (NPI# 1023467040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023467040 |
| Entity Type | Individual |
| Full Name | MRS. STACY SHANNON IRWIN |
| Credential | LPC |
| Practice Address |
9104 Sw 21st St Oklahoma City OK 73128-4933 |
| Practice Telephone | 4054643488 |
| Mailing Telephone | 4054643488 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2009 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295083475 | Stacy Lyn Irwin | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2012-08-21 |
| 1518276203 | Stacy Irwin | Speech-Language Pathologist | 212 Riverstone Dr, Canton, GA 30114-5256 | 2010-09-29 |
| 1811075070 | Stacy Ann Irwin | Nurse Practitioner | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2006-11-02 |
| Street Address |
9104 SW 21ST ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73128-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1457899841 | Shijy A Joykutty | Nurse Practitioner | 9300 Sw 24st, Okc, OK 73128 | 2017-02-06 |
| 1013314491 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6010 Sw 3rd St, Oklahoma City, OK 73128-1000 | 2014-12-01 |
| 1932396769 | Roger Potts Dental Group, PC | Dentist | 201 S Macarthur Blvd, Oklahoma City, OK 73128-1006 | 2007-09-25 |
| 1699221721 | Brent Haynes | Dentist | 201 S Macarthur Blvd, Oklahoma City, OK 73128-1006 | 2016-08-29 |
| 1073804670 | Suzetta Olunwa | Dentist | 201 S Macarthur Blvd, Oklahoma City, OK 73128-1006 | 2011-04-29 |
| 1831799113 | Mel Vision LLC | Optometrist | 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 | 2020-10-27 |
| 1972647840 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 6010 Sw 3rd St, Suite A, Oklahoma City, OK 73128-1029 | 2007-02-16 |
| 1306181649 | Dental Health Associates of Texas, PC. | Dentist | 500 S Macarthur Blvd, Suite 200, Oklahoma City, OK 73128-1043 | 2012-11-27 |
| 1326065467 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5510 Sw 5th St, Oklahoma City, OK 73128-1216 | 2006-07-16 |
| Find all providers in zip 73128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1942819081 | Michael Sylvester Radonski | Counselor | 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 | 2020-07-24 |
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1730713884 | Hanna Pauline Nassar | Counselor | 405 Nw 33rd St, Oklahoma City, OK 73118-8644 | 2020-02-27 |
| 1699319475 | Stephanie Gaynell Potts | Counselor | 1724 Ne 54th St, Oklahoma City, OK 73111-6832 | 2019-11-04 |
| 1962062471 | Babatunde Olumuyiwa Sosanya | Counselor | 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 | 2019-06-17 |
| 1598321440 | Tiba Counseling Center, Inc. | Counselor | 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 | 2019-05-16 |
| 1588132542 | Allison Martha Gibson | Counselor | 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 | 2018-11-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73128 |
Please comment or provide details below to improve the information on MRS. STACY SHANNON IRWIN.
| 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.