MRS. STACI SITHEMBILE HARRIS (NPI# 1134679012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134679012 |
| Entity Type | Individual |
| Full Name | MRS. STACI SITHEMBILE HARRIS |
| Credential | NP |
| Practice Address |
2550 S 41st St Wilmington NC 28403-5519 |
| Mailing Address |
255s. 41st Street Liberty Homecare & Hospice Wilmington NC 28402 |
| Practice Telephone | 7046951421 |
| Practice Fax Number | 7046947748 |
| Mailing Telephone | 7046951421 |
| Mailing Fax Number | 7046947748 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5009104 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5009104 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
20490 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595830 | Staci Bree Harris | Physical Therapist | 311 E County Line Rd Unit A3, Littleton, CO 80122-8104 | 2019-05-29 |
| 1245712900 | Staci Harris | Early Intervention Provider Agency | 2308 W Montgomery Ave Apt B, Philadelphia, PA 19121-3021 | 2018-08-29 |
| 1144779927 | Staci Harris | Nurse Practitioner | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2016-09-22 |
| Street Address |
2550 S 41ST ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245214 | Liberty Healthcare Group, LLC | Home Health | 2550 S 41st St, Wilmington, NC 28403-5519 | 2006-05-24 |
| 1629217856 | Liberty Healthcare Group, LLC | Case Management | 2550 S 41st St, Wilmington, NC 28403-5519 | 2009-02-11 |
| 1699800847 | Liberty Nursing Services, LLC | Nursing Care | 2550 S 41st St, Wilmington, NC 28403-5519 | 2007-02-21 |
| 1275611766 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 2550 S 41st St, Wilmington, NC 28403-5519 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790982577 | Lisa D'angelo Sugar | Nurse Practitioner | Trolley Square, Suite 31-32a, Wilmington, DE 19806-3719 | 2007-06-27 |
| 1124670641 | Rebecca Elizabeth Smith | Nurse Practitioner | 1605 Doctors Cir, Wilmington, NC 28401-7405 | 2019-07-15 |
| 1174032775 | Jane Wanjiru Gathura | Nurse Practitioner | 1601 Milltown Rd Ste 2, Wilmington, DE 19808-4047 | 2017-09-26 |
| 1649638990 | Amy Shearin | Nurse Practitioner | 715 Medical Center Dr, Wilmington, NC 28401-7574 | 2016-02-02 |
| 1871787549 | Mark Elliott Hollingsworth | Nurse Practitioner | 4141 Shipyard Blvd, Wilmington, NC 28403-6156 | 2007-09-05 |
| 1508950957 | Cynthia Ann Lang-groening | Nurse Practitioner | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on MRS. STACI SITHEMBILE HARRIS.
| 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.