STACY WILSON (NPI# 1174898365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174898365 |
| Entity Type | Individual |
| Full Name | STACY WILSON |
| Other Name | STACY RIDDLE |
| Practice Address |
4233 Pelican Dr Fallon NV 89406-2445 |
| Practice Telephone | 7752918406 |
| Mailing Telephone | 7752918406 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992261085 | Stacy Natasha Wilson | Counselor | 145 Parker Fishery Rd, Winton, NC 27986-9763 | 2019-02-14 |
| 1194215244 | Stacy Wilson | Registered Nurse | 1601 Ulupuni St, Kailua, HI 96734-4452 | 2018-05-15 |
| 1396276747 | Stacy Wilson | Specialist | 189 Lake St, Oceanside, NY 11572-4212 | 2017-03-27 |
| 1114236346 | Stacy Allieou Wilson | Occupational Therapist | 4920 Raeford Rd, Fayetteville, NC 28304-3142 | 2010-10-06 |
| 1386277150 | Stacy Ann Wilson | Peer Specialist | 2901 E Burnside St, Portland, OR 97214-1831 | 2020-02-19 |
| 1952862963 | Stacy Wilson | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Msag407p, Temple, TX 76508-0001 | 2019-03-31 |
| 1326507815 | Stacy Wilson | Social Worker | 52 Woodstream Dr, Grand Island, NY 14072 | 2019-03-14 |
| 1881103885 | Stacy J Wilson | Occupational Therapy Assistant | 3355 E Semoran Blvd, Apopka, FL 32703-6062 | 2017-09-22 |
| 1386162436 | Stacy Caye Wilson | Counselor | 505 Coates St, Parkersburg, IA 50665-7733 | 2017-09-08 |
| 1194276584 | Stacy Marie Wilson | Licensed Practical Nurse | 127 East State Street, Gloversville, NY 12078-1204 | 2016-10-20 |
| Street Address |
4233 PELICAN DR |
| City | FALLON |
| State | NV |
| Zip Code | 89406-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
| 1982173936 | Deborah Honeyestewa | Counselor | 1001 Rio Vista Drive, Fallon, NV 89406 | 2018-11-20 |
| 1528545779 | Be Empowered Health and Wellness LLC | Assistant Behavior Analyst | 1060 Roberta Ct., Fallon, NV 89406 | 2018-07-20 |
| 1609372325 | Penni Rae Loveland | Community Health Worker | 393 Calloway Court #4, Fallon, NV 89406 | 2018-04-02 |
| 1205274842 | Sharon Lee Amelung | Counselor | 270 S Maine St., Suite 8, Fallon, NV 89406 | 2013-06-05 |
| 1295045565 | Mary Ann Dunn | Dental Hygienist | 1001 Rio Vista Dr., C/o Fthc - Dental, Fallon, NV 89406 | 2010-10-20 |
| 1952578759 | Compassionate In-home Care LLC | Home Health | 37 Whitaker Lane, Fallon, NV 89406 | 2008-05-12 |
| 1326244757 | Cary Jaques | Dentist | 300 West A Street, Fallon, NV 89406 | 2007-06-22 |
| 1356542450 | New River Surgical Arts LLC | Clinic/Center | 1120 New River Parkway, Suite 100, Fallon, NV 89406 | 2007-05-29 |
| 1093927824 | Total Renal Care Inc | Clinic/Center | 1103 New River Parkway, Fallon, NV 89406 | 2007-05-04 |
| Find all providers in zip 89406 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235402231 | Rosemary Kaye Anderson | Rehabilitation Practitioner | 195 N Bailey St, Fallon, NV 89406-2720 | 2012-02-22 |
| 1861887556 | David Rooley | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-03-31 |
| 1043651912 | Isaac Mardis | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2013-07-08 |
| 1285074534 | Kathleen Hayhurst | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2013-07-01 |
| 1639519937 | Kati Taylor | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2013-07-01 |
| 1083054381 | Michelle Mcknight | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2013-07-01 |
| 1891135141 | James J Higgins | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2013-07-01 |
| 1427397553 | Diane Harvey | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2013-02-08 |
| 1700137833 | Sara Pettway | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2012-09-28 |
| 1083965198 | Dorothy Mitchell | Rehabilitation Practitioner | 1490 Grimes St, Fallon, NV 89406-3103 | 2012-09-28 |
| Find all providers in FALLON | ||||
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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.