STACEY ALLENE GRAZIANO (NPI# 1245309087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245309087 |
| Entity Type | Individual |
| Full Name | STACEY ALLENE GRAZIANO |
| Credential | SCHOOL PSYCHOLOGIST |
| Practice Address |
1600 Sutter Pl Clovis NM 88101-4611 |
| Mailing Address |
3004 Virginia Ave Clovis NM 88101-3451 |
| Practice Telephone | 5057694490 |
| Practice Fax Number | 5059350011 |
| Mailing Telephone | 5053123546 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
319903 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 10856552 | 05 |
| Street Address |
1600 SUTTER PL |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215032784 | John Lester Collins | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-09-13 |
| 1467051060 | Audrey G Lietzke | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-23 |
| 1245839927 | Ofelma Soto Navarro | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1801495577 | Diane Amanda Lukkar | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1992304679 | Chelsey Lane Pena | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1255930939 | Keitta Christine Torres | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1154928604 | Angela N Lutz | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-07 |
| 1366049470 | Ashley N Curtis | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-02 |
| 1760099006 | Rozalyn Nicole Cox | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-09-30 |
| 1730710468 | Amy Laing | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928604 | Angela N Lutz | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-07 |
| 1578179271 | David Michael Weber I | Psychologist | 1680 David E Cook Way, Clovis, CA 93611-2505 | 2020-09-17 |
| 1497089312 | Sarah Elizabeth Anderson | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2009-09-24 |
| 1588733513 | James Christopher Collins | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703701 | Cara Jean Burrola | Psychologist | 1111 Capitan St Nw, Los Lunas, NM 87031-6909 | 2020-09-08 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1003384181 | Patricia Keeler | Psychologist | # 50 County Rd. 13, Cuba, NM 87013 | 2018-11-07 |
| 1427562107 | Tascha Just | Psychologist | 1 Sunlit Dr E, Santa Fe, NM 87508-8993 | 2017-11-16 |
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1477004281 | Ciarra Marrufo | Psychologist | 1100 W Bullock Ave, Artesia, NM 88210-2342 | 2016-10-17 |
| 1346697026 | Mary E. Sawyers, Ma, Lpcc | Psychologist | 1200 N White Sands Blvd Ste 118, Alamogordo, NM 88310-6774 | 2016-05-23 |
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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.