STACEY A SUTTON (NPI# 1306244678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306244678 |
| Entity Type | Individual |
| Full Name | STACEY A SUTTON |
| Credential | LMT |
| Practice Address |
147 Hazelwood Ave Buffalo NY 14215-3516 |
| Mailing Address |
147 Hazelwood Avenue Buffalo NY 14215 |
| Practice Telephone | 7164005142 |
| Mailing Telephone | 7166022030 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MT009349 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | 025666-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275024473 | Stacey Sutton | Behavioral Analyst | 45 Creekside Ln Unit 512, Malvern, PA 19355-3275 | 2018-05-23 |
| 1548602162 | Stacey L Sutton | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2013-07-24 |
| 1679899900 | Stacey Caldwell Sutton | Registered Nurse | 112 N 7th St, Chambersburg, PA 17201-1720 | 2010-04-12 |
| Street Address |
147 HAZELWOOD AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090803 | Green Pastures Still Waters, LLC | Massage Therapist | 1413 Hertel Ave Ste 1, Buffalo, NY 14216-2831 | 2019-12-17 |
| 1407491392 | Micheal J Beck | Massage Therapist | 174 Lexington Ave Uppr, Buffalo, NY 14222-1810 | 2019-11-14 |
| 1235782822 | Matthew C Overfield | Massage Therapist | 3435 Harlem Rd Ste 7, Buffalo, NY 14225-2021 | 2019-07-22 |
| 1487120234 | Lakieta L Smith | Massage Therapist | 820 Elmwood Ave, 5, Buffalo, NY 14222 | 2018-10-19 |
| 1063998664 | Angela Smith | Massage Therapist | 700 Main St Fl 1, Buffalo, NY 14202-1924 | 2018-07-17 |
| 1073003737 | Angela Jessie | Massage Therapist | 4525 Main St, Buffalo, NY 14226-3809 | 2018-05-17 |
| 1356876973 | Kaaremah Ali | Massage Therapist | 33 Wadsworth St, Buffalo, NY 14201-1305 | 2017-04-21 |
| 1073968970 | Stephanie Szpila | Massage Therapist | 31 Shenandoah Rd, Buffalo, NY 14220-2417 | 2016-04-28 |
| 1942616230 | Deidre Medina | Massage Therapist | 120 Eller Ave, Buffalo, NY 14211-2115 | 2014-07-07 |
| 1023438629 | Sakina Chenini | Massage Therapist | 49 Lynn St, Buffalo, NY 14218-2047 | 2014-04-22 |
| Find all providers in BUFFALO | ||||
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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.