STACY LYNN TOMBERLIN (NPI# 1275607293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275607293 |
| Entity Type | Individual |
| Full Name | STACY LYNN TOMBERLIN |
| Other Name | STACY LYNN KATTERHENRY |
| Credential | ARNP |
| Practice Address |
8440 Walnut Hill Ln Ste 600 Dallas TX 75231 |
| Mailing Address |
8440 Walnut Hill Ln Ste 600 Dallas TX 75231-3824 |
| Practice Telephone | 2143455999 |
| Practice Fax Number | 2143455988 |
| Mailing Telephone | 2143455999 |
| Mailing Fax Number | 2143455988 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R0075357 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP130049 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200102380A | 05 |
| Street Address |
8440 WALNUT HILL LN STE 600 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827308 | Lynn M Myers | Family Medicine | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2005-11-08 |
| 1073145207 | Jillian Graf Fincher | Nurse Practitioner | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2020-02-05 |
| 1255716825 | Kellie Vaidya | Physician Assistant | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2015-07-24 |
| 1265729461 | Andrea Giomi | Internal Medicine | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2011-07-08 |
| 1932334703 | Raza Ahmed Jafry | Internal Medicine | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2009-05-22 |
| 1801836713 | Kimulique H Allen | Internal Medicine | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2006-06-08 |
| 1558308643 | Alan G Kaye | Internal Medicine | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2006-05-31 |
| 1063497527 | Joan M. Layden | Physician Assistant | 8440 Walnut Hill Ln Ste 600, Dallas, TX 75231-3824 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on STACY LYNN TOMBERLIN.
| 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.