STACEY LYNN ENLOW (NPI# 1306072152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306072152 |
| Entity Type | Individual |
| Full Name | STACEY LYNN ENLOW |
| Credential | APN |
| Practice Address |
450 N Hico St Siloam Springs AR 72761-2810 |
| Practice Telephone | 4792381222 |
| Practice Fax Number | 4792381229 |
| Mailing Telephone | 4792381222 |
| Mailing Fax Number | 4792381229 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03257 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 N HICO ST |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1023405198 | Sam Simpson | Nurse Practitioner | 3721 Highway 412 E Ste B, Siloam Springs, AR 72761-8010 | 2015-04-16 |
| 1538559026 | Peggy Stanley | Nurse Practitioner | 18282 Pepper Hills Dr, Siloam Springs, AR 72761-8955 | 2015-02-04 |
| 1336455658 | Amanda Kay Pippenger | Nurse Practitioner | 1700 E Quarter Rd, Siloam Springs, AR 72761-4603 | 2010-08-24 |
| 1801086194 | Janet Susan Bilyeu | Nurse Practitioner | 3721 Highway 412 E, Siloam Springs, AR 72761-8010 | 2007-08-01 |
| 1801447834 | Andrea Joy Murphy | Nurse Practitioner | 451 S Holly St, Siloam Springs, AR 72761-3018 | 2019-09-20 |
| 1790344109 | Rachel Reich | Nurse Practitioner | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761-9509 | 2019-06-10 |
| 1780148262 | Joshua K Sanford | Nurse Practitioner | 3721 Highway 412 E Ste B, Siloam Springs, AR 72761-8010 | 2019-01-29 |
| 1962973412 | Mindy Leigh Watkins | Nurse Practitioner | 451 S Holly St, Siloam Springs, AR 72761-3018 | 2018-12-10 |
| 1114376456 | Summer Lokey | Nurse Practitioner | 1700 E Quarter Rd, Siloam Springs, AR 72761-4603 | 2016-06-07 |
| Find all providers in SILOAM SPRINGS | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
Please comment or provide details below to improve the information on STACEY LYNN ENLOW.
| 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.