DR. STACEY M CARROLL (NPI# 1114102332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114102332 |
| Entity Type | Individual |
| Full Name | DR. STACEY M CARROLL |
| Other Name | MS. STACEY M CORDWELL |
| Credential | PHD, APRN-BC |
| Practice Address |
18 Wayland Cir Holden MA 01520-2439 |
| Practice Telephone | 5088297847 |
| Mailing Telephone | 5088297847 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
212620 | MA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
212620 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356404552 | Stacey Ann Carroll | Speech-Language Pathologist | 10550 Ridgewood Dr, Palos Park, IL 60464-2522 | 2006-12-18 |
| 1396207049 | Stacey Peel Carroll | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St # Ms 0316, Reno, NV 89557-0001 | 2019-04-02 |
| 1285973396 | Stacey P Carroll | Nurse Practitioner | 1540 Sunday Dr, Raleigh, NC 27607-6010 | 2013-02-08 |
| Street Address |
18 WAYLAND CIR |
| City | HOLDEN |
| State | MA |
| Zip Code | 01520-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740607365 | Erin E Burns | Audiologist | 52 Boyden Rd Suite 204, Hearing and Balance Centers of New England, Holden, MA 01520 | 2014-03-20 |
| 1497009476 | Kristen R Crossen | Social Worker | 49 Cedar Road, Holden, MA 01520 | 2012-10-30 |
| 1962784629 | John J. Giordano Dmd LLC | Dentist | 336 Quinapoxet Street, Holden, MA 01520 | 2011-09-19 |
| 1609925254 | Heidi Berube | Internal Medicine | Holden Christian Academy, C-o Heide Berub, M.d. 279 Reservoir St., Holden, MA 01520 | 2007-01-10 |
| 1306911623 | Barbara Milazzo Coveney | Social Worker | Charis Lighthouse Counseling, 61 Boyden Road, Holden, MA 01520 | 2006-11-21 |
| 1154495364 | Thomas J Allen Jr. | Dentist | 1010 Main Street, Suite 6, Holden, MA 01520 | 2006-11-20 |
| 1053485672 | Peter J Russo | Dentist | 567 Southbridge, Auburn, MA 01520 | 2006-11-17 |
| 1245303411 | Audiologic Hearing Services Inc | Audiologist | 52 Boyden Road, Suite 204, Holden, MA 01520 | 2006-11-16 |
| 1710066774 | Wachusett Family Practice Associates | Family Medicine | 52 Boyden Rd Suite 209, Holden, MA 01520 | 2006-11-02 |
| 1104929595 | Edward J Michalowski | Dentist | 1072 Main Street, Holden, MA 01520 | 2006-09-07 |
| Find all providers in zip 01520 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| 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.