MS. STACEY LYNN BRECKONS (NPI# 1073755781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073755781 |
| Entity Type | Individual |
| Full Name | MS. STACEY LYNN BRECKONS |
| Credential | RN |
| Practice Address |
121 Csh Apo AP 96205 |
| Mailing Address |
A.co 121 Csh Box 640 Apo AP 96205 |
| Practice Telephone | 3157375068 |
| Practice Fax Number | 3157373000 |
| Mailing Telephone | 3157375068 |
| Mailing Fax Number | 3157373000 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
708546 | TX | Nursing Service Providers |
| Street Address |
121 CSH |
| City | APO |
| State | AP |
| Zip Code | 96205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891851853 | Kirsten Maria Hermstad | Nurse Anesthetist, Certified Registered | 121 Csh, Apo, AP 96205 | 2006-12-27 |
| 1700202900 | Jerry W Gostnell II | Registered Nurse | 121 Csh, Unit 15244, Apo, AP 96205 | 2014-03-12 |
| 1801177522 | Jonathan R Epperson | Pathology | 121 Csh, Unit 15244 Box 532, Apo, AP 96205 | 2011-09-08 |
| 1891024238 | Sara Beth Baldwin | Occupational Therapist | 121 Csh, Unit 15244 Box 552, Apo, AP 96205-5244 | 2009-12-14 |
| 1831423904 | Catherine Jennings | Registered Nurse | 121 Csh, Apo, AP 96205-0054 | 2009-09-23 |
| 1417186024 | Serena Anne Gray | Registered Nurse | 121 Csh, Apo, AP 96205 | 2009-07-06 |
| 1518109222 | Ryan K. Ransom | Registered Nurse | 121 Csh, Apo, AP 96205 | 2009-03-26 |
| 1023259223 | Perry Clayton Ruiz | Registered Nurse | 121 Csh, Box 84, Apo, AP 96205 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437393337 | Betty Earlyn Clouden | Registered Nurse | 121 Combat Support Hospital Unit 15244, Apo, AP 96205-5244 | 2009-04-23 |
| 1003058702 | Theresa Marie Rollason | Registered Nurse | Unit 15244 Box 425, Apo, AP 96205-5244 | 2009-03-27 |
| 1881678126 | Veronica Villafranca | Registered Nurse | Hhc 18th Medcom, Attn: Dccs-qm (credentials), Apo, PACIFIC AP | 2005-11-30 |
| 1386625978 | Oswaldo Martinez | Registered Nurse | 18th. Med Com, Attn: Dccs-am (credentials), Apo, AP 96205-0054 | 2005-11-10 |
| 1619213824 | Scott Joseph Lapanne | Registered Nurse | Psc 80, Box 13379, Apo, AP 96367 | 2012-12-14 |
| 1518109222 | Ryan K. Ransom | Registered Nurse | 121 Csh, Apo, AP 96205 | 2009-03-26 |
| 1447499876 | Sarah Wadsworth | Registered Nurse | Hhc 121 General Hospital, Box 376, Apo, AP 96205 | 2009-02-09 |
| 1730160326 | Jeanette Rodriguez-torres | Registered Nurse | 18th Medcom, Attn:dccs-qm, Apo, AP 96205-0054 | 2005-11-10 |
| 1518948710 | James Albert Adamec | Registered Nurse | 18th Medcom, Attn: 1)ccs-am(credentials), Apo, AP 96205-0054 | 2005-11-07 |
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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.