STACY NIESSING (NPI# 1104453901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104453901 |
| Entity Type | Individual |
| Full Name | STACY NIESSING |
| Practice Address |
1646 Brentwood Rd Brentwood NY 11717-5534 |
| Mailing Address |
1215 Orchid Cir Bellport NY 11713-3012 |
| Practice Telephone | 6312315200 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Street Address |
1646 BRENTWOOD RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484750 | Eastern Island Medical Care PC | Neuromusculoskeletal Medicine, Sports Medicine | 1646 Brentwood Rd, Brentwood, NY 11717-5534 | 2006-06-12 |
| 1689200768 | Marianne G Nodado | Physical Therapist | 1646 Brentwood Rd, Brentwood, NY 11717-5534 | 2020-03-20 |
| 1639719248 | Siegfreid Capistrano | Physical Therapist | 1646 Brentwood Rd, Brentwood, NY 11717-5534 | 2020-01-11 |
| 1174750269 | Monique Pascual | Chiropractor | 1646 Brentwood Rd, Brentwood, NY 11717-5534 | 2009-06-16 |
| 1326177338 | Scott Alan Roteman | Internal Medicine | 1646 Brentwood Rd, Brentwood, NY 11717-5534 | 2007-03-05 |
| 1942223268 | Robert Scott Southard | Chiropractor | 1646 Brentwood Rd, Brentwood, NY 11717-5534 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870550 | Xiaomei Zhao | Acupuncturist | 229 Ward Cir Ste A12, Brentwood, TN 37027-7518 | 2019-03-14 |
| 1083153746 | Rui Horn | Acupuncturist | 317 Oak St Ste A, Brentwood, CA 94513-1186 | 2017-02-14 |
| 1245653898 | Peach & Crane, Pllc | Acupuncturist | 1806 Williamson Ct, Suite 218, Brentwood, TN 37027-7974 | 2014-01-31 |
| 1356613632 | William Christopher Alexander | Acupuncturist | 750 Old Hickory Blvd Ste 150, Brentwood, TN 37027-5387 | 2012-02-02 |
| 1588996359 | Li Zhang | Acupuncturist | 1605 Westgate Cir Ste 201, Brentwood, TN 37027-8397 | 2010-02-04 |
| 1114254331 | Myrna Rachelle Smith | Acupuncturist | 1731 Mallory Ln Ste 109, Brentwood, TN 37027-7986 | 2009-11-09 |
| 1316165228 | Danilo Jeremy Cuellar | Acupuncturist | 659 Suffolk Ave, Brentwood, NY 11717-4413 | 2007-04-23 |
| 1548224553 | Gerald Weir | Acupuncturist | 1247 Suffolk Ave, Brentwood, NY 11717-4518 | 2006-04-14 |
| 1205460102 | Strong Island Acupuncture and Chiropractic Associates Pllc | Acupuncturist | 1799 Brentwood Rd, Brentwood, NY 11717-4611 | 2020-02-28 |
| 1891359006 | Affinity Acupuncture | Acupuncturist | 750 Old Hickory Blvd Ste 150, Brentwood, TN 37027-5387 | 2019-04-24 |
| Find all providers in BRENTWOOD | ||||
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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.