MS. STACEY ANN AGEE (NPI# 1275515181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275515181 |
| Entity Type | Individual |
| Full Name | MS. STACEY ANN AGEE |
| Credential | ANP |
| Practice Address |
2120 Exchange St Suite 200 Astoria OR 97103-3365 |
| Mailing Address |
Po Box 176 Wheeler OR 97147-0176 |
| Practice Telephone | 5033255360 |
| Practice Fax Number | 5033259373 |
| Mailing Telephone | 8003685182 |
| Mailing Fax Number | 8447170711 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 087006402N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 239443 | 05 |
| Street Address |
2120 EXCHANGE ST SUITE 200 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235595760 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 2120 Exchange St, Suite 204, Astoria, OR 97103-3365 | 2016-01-13 |
| 1609243641 | Debra Kumm | Pharmacist | 2120 Exchange St, Suite 101, Astoria, OR 97103-3365 | 2015-08-25 |
| 1770975245 | Douglas Merle Garner | Case Manager/Care Coordinator | 2120 Exchange St, Astoria, OR 97103-3365 | 2015-02-20 |
| 1255720850 | Megan Stallter | Counselor | 2120 Exchange St, Astoria, OR 97103-3365 | 2015-01-20 |
| 1871997353 | Bonnie Charlotte Singman | Counselor | 2120 Exchange St, Ste. 301, Astoria, OR 97103-3365 | 2014-10-13 |
| 1790185734 | Jessica K Lawrence | Physical Therapy Assistant | 2120 Exchange St, Suite 104, Astoria, OR 97103-3366 | 2014-08-27 |
| 1568875193 | Laurel Payne | Psychiatry & Neurology | 2120 Exchange St, Astoria, OR 97103-3365 | 2014-06-11 |
| 1700204658 | Nick Benas | Rehabilitation Practitioner | 2120 Exchange St, Suite 301, Astoria, OR 97103-3365 | 2014-03-28 |
| 1215367685 | Ladessa Marie Christensen | Nurse Practitioner | 2120 Exchange St, Suite 202, Astoria, OR 97103-3365 | 2013-11-20 |
| 1093003667 | Columbia Lutheran Charities | Pharmacy | 2120 Exchange St, Ste 101, Astoria, OR 97103-3365 | 2011-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| 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 |
|---|---|---|---|---|
| 1124295944 | Resident Care Medicine of New York, Pllc | Nurse Practitioner | 34-12 36th St Suite 220, Resident Care Medicine of New York LLC, Astoria, NY 11106 | 2008-05-12 |
| 1093779928 | Susan L Skinner | Nurse Practitioner | 595 18th St, Astoria, OR 97103 | 2006-04-17 |
| 1518592948 | Bhupinder Kaur | Nurse Practitioner | 2802 Crescent St, Astoria, NY 11102-3141 | 2020-03-05 |
| 1083009872 | Brenda Mcnaughton | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2015-03-30 |
| 1215367685 | Ladessa Marie Christensen | Nurse Practitioner | 2120 Exchange St, Suite 202, Astoria, OR 97103-3365 | 2013-11-20 |
| 1912335688 | Beth Allison Fnp LLC | Nurse Practitioner | 2055 Exchange St Ste 270, Astoria, OR 97103-3419 | 2013-10-16 |
| 1619013000 | Coral J Cates | Nurse Practitioner | 2120 Exchange St Ste 301, Astoria, OR 97103-3364 | 2007-01-30 |
| 1083773386 | Dianne Edwina Cavanaugh | Nurse Practitioner | 2510 30th Ave, Mount Sinai Hospital Queens, Astoria, NY 11102-2448 | 2006-12-06 |
| 1437229366 | Tina Marie Galey | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2006-11-08 |
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| 1184221780 | Catherine Slade | Nurse Practitioner | 3640 Nw Samaritan Dr # 100, Corvallis, OR 97330-3784 | 2020-10-06 |
| 1689280620 | Danna Rae Morgan | Nurse Practitioner | 539 N Barneburg Rd, Medford, OR 97504-6678 | 2020-09-16 |
| 1740800283 | Digital Clinic LLC | Nurse Practitioner | 30 E 33rd Ave Unit 5822, Eugene, OR 97405-0819 | 2020-04-24 |
| 1356977144 | Maria Elena Rivera | Nurse Practitioner | 1801 Highway 99 N Ste B, Ashland, OR 97520-9152 | 2020-03-12 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1073097242 | Shirley Deveere Reynolds | Nurse Practitioner | 998 Inlet Loop, Coos Bay, OR 97420-4446 | 2018-09-24 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1497249007 | Kansys Clouse | Nurse Practitioner | 1639 Se Ensign Ln # B103, Warrenton, OR 97146-7308 | 2018-06-18 |
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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.