MRS. STACY JANE SISSON (NPI# 1306972500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306972500 |
Entity Type | Individual |
Full Name | MRS. STACY JANE SISSON |
Credential | R.N. |
Practice Address |
5608 Cliff Cave Crossing Dr Saint Louis MO 63129-4368 |
Practice Telephone | 3148461161 |
Practice Fax Number | 3148461161 |
Mailing Telephone | 3148461161 |
Mailing Fax Number | 3148461161 |
Enumeration Date | 2007-02-24 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
143216 | MO | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013527415 | Stacy Ann Sisson | Counselor | 190 Elm St, Cobleskill, NY 12043-4682 | 2020-07-31 |
Street Address |
5608 CLIFF CAVE CROSSING DR |
City | SAINT LOUIS |
State | MO |
Zip Code | 63129-4368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164550026 | Stacy Sisson | Technician | 5608 Cliff Cave Crossing Dr, Saint Louis, MO 63129-4368 | 2007-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
Find all providers in zip 63129 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952922395 | Jennifer Fongsamouth | Registered Nurse | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2020-04-27 |
1417445370 | Andrea Desi Rae Bieser | Registered Nurse | 1430 Olive St, Saint Louis, MO 63103-2360 | 2018-04-26 |
1700391281 | Brandy La-keysha Cook | Registered Nurse | 11133 Dunn Rd Ste 2427, Saint Louis, MO 63136-6163 | 2017-12-06 |
1245637487 | Latisha Copple | Registered Nurse | 1430 Olive St, Suite 100, Saint Louis, MO 63103-2303 | 2014-12-03 |
1790916864 | Diane Roth | Registered Nurse | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-08-06 |
1295974699 | Larry Williams | Registered Nurse | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2009-02-10 |
1316127079 | Florinda Kay Garrett | Registered Nurse | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2007-11-11 |
1649399403 | Valerie Jean Allen Foster | Registered Nurse | 2312 Lemay Ferry Rd, Saint Louis, MO 63125-3127 | 2007-03-29 |
1770692048 | Theresa Lee Mcquaide | Registered Nurse | 13065 Old Tesson Ferry Rd, Saint Louis, MO 63128-3441 | 2006-08-30 |
1144339318 | Carlotta Taylor-white | Registered Nurse | 969 N Mason Rd, Ste 160, Saint Louis, MO 63141-6338 | 2006-08-30 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63129 |
Please comment or provide details below to improve the information on MRS. STACY JANE SISSON.
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.