STACEY LYNN SMITH (NPI# 1225556681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225556681 |
| Entity Type | Individual |
| Full Name | STACEY LYNN SMITH |
| Other Name | STACEY LYNN PATRICK |
| Practice Address |
2011 W Broadway Ave Sulphur OK 73086-4221 |
| Mailing Address |
Po Box 1109 Sulphur OK 73086-8109 |
| Practice Telephone | 5806222161 |
| Practice Fax Number | 5806226455 |
| Mailing Telephone | 5806228206 |
| Mailing Fax Number | 5806226455 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
97016 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385771 | Stacey Smith | Physical Therapy Assistant | 24 Deer Run Rd, Little Egg Harbor Twp, NJ 08087-9722 | 2020-10-28 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1356812994 | Stacey Smith | Doula | 8711 Whitson Ct, Springfield, VA 22153-1268 | 2018-12-07 |
| 1871000745 | Stacey Smith | Counselor | 8622 Winton Rd Ste A, Cincinnati, OH 45231-4823 | 2018-01-02 |
| 1992150411 | Stacey Smith | Community Health Worker | 3042 Fitzgerald St, Jacksonville, FL 32254-3947 | 2016-05-03 |
| 1942664669 | Stacey Smith | Pharmacist | 124845 Main St, Williston, SC 29853-2711 | 2016-04-08 |
| 1184085813 | Stacey Smith | Psychologist | 2211 S Mill Ave, Tempe, AZ 85282-2115 | 2016-03-08 |
| 1881011716 | Stacey Amanda Smith | Pharmacist | 4468 Eagle River Run, Broomfield, CO 80023-8753 | 2014-03-28 |
| 1164755765 | Stacey V Smith | Counselor | 69 Mascot St, Dorchester Center, MA 02124-4130 | 2009-09-14 |
| 1831357185 | Stacey Marie Smith | Specialist/Technologist, Other | 1816 N 155th St, Shoreline, WA 98133-6014 | 2008-05-22 |
| Street Address |
2011 W BROADWAY AVE |
| City | SULPHUR |
| State | OK |
| Zip Code | 73086-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869492 | Arbuckle Memorial Hospital | General Acute Care Hospital | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2005-11-28 |
| 1902324262 | Tyger Michelle Freeman | Nurse Practitioner | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2017-09-06 |
| 1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
| 1073957049 | Brandon S Drabek | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086 | 2013-04-22 |
| 1821221771 | Brenda Kay Winters | Nurse Practitioner | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2009-08-26 |
| 1407899941 | Arbuckle Family Clinic | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2006-06-13 |
| 1265475735 | Teresa J Lynn | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086-4221 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680079 | Arbuckle Chiropractic LLC | Chiropractor | 1500 W. 1st St, Sulphur, OK 73086 | 2019-07-01 |
| 1205959046 | Teresa Truelock | Contractor | 606 Circle Top Dr., Sulphur, OK 73086 | 2007-04-09 |
| 1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
| 1699858134 | Sooner Pharmacy | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-10-20 |
| 1811058589 | Evan Lee Bragg | Optometrist | 1010 West 3rd St, Sulphur, OK 73086-0499 | 2006-12-13 |
| 1265719850 | Wendie Renea Butts | Counselor | 3183 W 14th St, Sulphur, OK 73086-1117 | 2011-11-09 |
| 1588663520 | Artesian Home, Inc. | Nursing Facility/Intermediate Care Facility | 1415 W 15th St, Sulphur, OK 73086-2003 | 2005-07-20 |
| 1497156087 | Larry Lindquist | Counselor | 2700 W. Broadway, Sulphur, OK 73086-2700 | 2014-09-15 |
| Find all providers in zip 73086 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890367 | Emily Soileau Wyninger | Nurse Practitioner | 2432 Saint Joseph St, Sulphur, LA 70663-6154 | 2020-08-07 |
| 1508476383 | Lexie Reed | Nurse Practitioner | 959 Bankens Rd, Sulphur, LA 70663-0013 | 2020-08-05 |
| 1861020307 | Charlotte E Toney | Nurse Practitioner | 2465 Evangeline Oak Dr, Sulphur, LA 70665-8394 | 2020-03-30 |
| 1093349110 | Dean Joseph Chesson | Nurse Practitioner | 133 Summerwood Dr, Sulphur, LA 70663-4117 | 2020-02-27 |
| 1669012423 | Tiffany Kathleen Gibbs | Nurse Practitioner | 2492 S Cities Service Hwy Ste 1, Sulphur, LA 70665-6497 | 2020-01-09 |
| 1588182489 | Chance Michael Arceneaux | Nurse Practitioner | 2492 South Cities Service Hwy Suite 1, Sulphur, LA 70665 | 2017-08-31 |
| 1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
| 1770944985 | Angela Jones | Nurse Practitioner | 3120 E Burton St, Sulphur, LA 70663-1772 | 2016-03-15 |
| 1972964740 | Kemsohia Brandon | Nurse Practitioner | 484 S Post Oak Rd, Sulphur, LA 70663-3628 | 2016-03-08 |
| 1902215460 | Jeffrie Lyn Duberville | Nurse Practitioner | 1765 Lawton Dr, Sulphur, LA 70665-8611 | 2014-08-10 |
| Find all providers in SULPHUR | ||||
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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.