MRS. STACI AVERY WOOD (NPI# 1073824660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073824660 |
| Entity Type | Individual |
| Full Name | MRS. STACI AVERY WOOD |
| Credential | RN |
| Practice Address |
20 Durham St Southport NC 28461-9327 |
| Practice Telephone | 9103051532 |
| Mailing Telephone | 9103051532 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
188963 | NC | Nursing Service Providers |
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
188963 | NC | Nursing Service Providers |
| N | 163WN0003X |
Registered Nurse Specialization: Neonatal, Low-Risk |
188963 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285182972 | Staci Wood | Registered Nurse | 8161 Goldsmith Drive, Reynoldsburg, OH 43068-4712 | 2016-09-12 |
| 1275883936 | Staci Lavell Wood | Licensed Practical Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2012-09-10 |
| Street Address |
20 DURHAM ST |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-9327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 163WM0102X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Maternal Newborn |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265080071 | Jacqueline Denise Cooper | Registered Nurse | 10817 Coachman Cir, Charlotte, NC 28277-9148 | 2019-08-27 |
| 1073908745 | Rita Cahoon | Registered Nurse | 1309 Nc 306 Hwy S, Grantsboro, NC 28529-9613 | 2015-03-31 |
| 1942512017 | Dawn Marie Lowry | Registered Nurse | 202 Foxhound Ct, Raeford, NC 28376-7957 | 2010-07-06 |
| 1659334886 | Patricia Ann Horton-cothren | Registered Nurse | 712 N Elm St, High Point, NC 27262-3918 | 2006-04-10 |
| 1285282947 | Alyson Ringle | Registered Nurse | 1209 Se Industry Dr, Oxford, NC 27565-5023 | 2019-08-27 |
| 1376103010 | Jessica Walker Webb | Registered Nurse | 1501 Tate Blvd Se Ste 201, Hickory, NC 28602 | 2019-06-14 |
| 1831606979 | Jacelyn Schmid | Registered Nurse | 1091 Kirkpatrick Rd, Burlington, NC 27215 | 2018-01-09 |
| 1760924021 | Mary Mcghan | Registered Nurse | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-11-17 |
| 1205290236 | Surprena Fowler | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2016-04-06 |
| 1083099568 | Mandesa Malika Smith | Registered Nurse | 4300 Fayetteville Rd, Lumberton, NC 28358 | 2015-07-24 |
| 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.