STACEY OBRIEN EADIE (NPI# 1255471124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255471124 |
| Entity Type | Individual |
| Full Name | STACEY OBRIEN EADIE |
| Credential | NP |
| Practice Address |
100 Maris Grove Way Glen Mills PA 19342-1282 |
| Mailing Address |
5525 Research Park Dr 4th Floor Baltimore MD 21228-4873 |
| Practice Telephone | 6103874520 |
| Practice Fax Number | 6103874526 |
| Mailing Telephone | 6103874520 |
| Mailing Fax Number | 6103874526 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP006103B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700853249 | Stacey Laurine Eadie | Pediatrics | 1105 N Point Blvd, Suite 306, Baltimore, MD 21224-3419 | 2006-03-03 |
| Street Address |
100 MARIS GROVE WAY |
| City | GLEN MILLS |
| State | PA |
| Zip Code | 19342-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891764692 | Joel Posner | Internal Medicine | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2006-03-15 |
| 1023672730 | Joy Cantuba | Registered Nurse | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2019-04-29 |
| 1508347014 | Precious Daniels | Registered Nurse | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2018-08-23 |
| 1508380635 | Madelyn Campbell | Social Worker | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2017-07-31 |
| 1457703886 | Maryelisa Mcginnis | Pharmacist | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2016-07-11 |
| 1093113045 | Mary Catherine Hannigan-conroy | Nurse Practitioner | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2014-12-08 |
| 1497196745 | Erickson Living Health Services, LLC | Home Health | 100 Maris Grove Way, Attn: Executive Director, Glen Mills, PA 19342-1282 | 2013-07-16 |
| 1114274925 | Edith Claire Heilman | Clinical Nurse Specialist | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2012-08-10 |
| 1063745339 | Cathy Smith | Internal Medicine | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2009-09-17 |
| 1023274867 | Erickson Health Medical Group of Pa PC | Durable Medical Equipment & Medical Supplies | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038669 | Katherine Bilinski | Dietitian, Registered | 239 Winsor Court, Glen Mills, PA 19342 | 2018-10-03 |
| 1568969624 | Revathi Sangeetha Thirumaran | Nurse Anesthetist, Certified Registered | 24 Chamberlain Ct, Glen Mills, PA 19342 | 2018-04-06 |
| 1871098459 | Kristen Marie Rhodes | Counselor | 245 Bethel Road, Glen Mills, PA 19342 | 2018-03-27 |
| 1295256212 | Heart 2 Heart Home Care Agency | Home Health | 11 Mount Aire Farm Road, Glen Mills, PA 19342 | 2017-06-29 |
| 1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
| 1528439742 | Dental Professionals of Pennsylvania, PC | Dentist | 1751 Wilmington Pike, Suite F-2, F-3, Glen Mills, PA 19342 | 2015-10-14 |
| 1760853246 | Wegmans Food Markets, Inc. | Pharmacy | 100 Applied Bank Blvd, Glen Mills, PA 19342 | 2015-10-09 |
| 1508289893 | Mandy Fadakar | Pharmacist | 700 Evergreen Drive, Glenn Mills, PA 19342 | 2014-01-23 |
| 1073944476 | Amanda M Hoffman | Behavioral Analyst | 4 Mohawk Court, Glen Mills, PA 19342 | 2013-12-10 |
| 1235576075 | Sarah E Tonelli | Dermatology | 500 Evergreen Dr Ste 20, Glen Mills, PA 19342 | 2013-06-03 |
| Find all providers in zip 19342 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087595 | Chelsea Ross | Nurse Practitioner | 300 Evergreen Dr Ste 200, Glen Mills, PA 19342-1059 | 2018-03-19 |
| 1669849261 | Christina Elizabeth Worst | Nurse Practitioner | 1020 Baltimore Pike Ste 100, Glen Mills, PA 19342-1365 | 2015-08-31 |
| 1598156879 | Jennifer Louise Ubbens | Nurse Practitioner | 1766 Wilmington Pike, Glen Mills, PA 19342-1378 | 2015-02-09 |
| 1508123225 | Rebecca Rose Bibro | Nurse Practitioner | 101 Applied Bank Blvd Ste 11, Glen Mills, PA 19342-3501 | 2012-04-19 |
| 1053548420 | Rosemary Albany | Nurse Practitioner | 1020 Baltimore Pike, Suite 300, Glen Mills, PA 19342-1362 | 2009-06-12 |
| 1508058470 | Ann E Moore | Nurse Practitioner | 1020 Baltimore Pike, Suite 100, Glen Mills, PA 19342-1365 | 2007-08-15 |
| 1538384383 | Teresa Kathryn Mcdonald | Nurse Practitioner | 100 Maris Grove Way, Glen Mills, PA 19342-1282 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | GLEN MILLS |
| Zip Code | 19342 |
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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.