STACY D COLE (NPI# 1326522533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326522533 |
| Entity Type | Individual |
| Full Name | STACY D COLE |
| Practice Address |
925 Highway Vv Kennett MO 63857 |
| Practice Telephone | 5738885925 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326491721 | Stacy Cole | Hearing Instrument Specialist | 601 5th Ave W, Hendersonville, NC 28739-4205 | 2016-07-20 |
| 1740643568 | Stacy Virgil Cole | Dentist | 4812 Bryant Irvin Ct, Fort Worth, TX 76107-7640 | 2016-03-30 |
| 1821319203 | Stacy Cole | Speech-Language Pathologist | 2524 W Alta Vista Rd, Phoenix, AZ 85041-5330 | 2010-06-19 |
| 1629677968 | Stacy Lynn Cole | Counselor | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2020-10-19 |
| 1568735413 | Stacy Marie Cole | Registered Nurse | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2012-02-22 |
| 1548478985 | Stacy L Cole | Physical Therapist | 815 Nw 9th St, Suite180, Corvallis, OR 97330-6173 | 2007-05-18 |
| Street Address |
925 HIGHWAY VV |
| City | KENNETT |
| State | MO |
| Zip Code | 63857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225327083 | Kim Renea Gurley | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2011-04-01 |
| 1033718804 | Jaclyn Stafford | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2020-10-22 |
| 1518571728 | Dana Renee Brunk | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-09-04 |
| 1265057319 | Carlys Rachelle Ricketts | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2020-06-15 |
| 1780206185 | Marcus Owens | Specialist | 925 Highway Vv, Kennett, MO 63857 | 2020-05-08 |
| 1154956993 | Shelby Dawn Mcafee | Technician | 925 Highway Vv, Kennett, MO 63857 | 2020-03-11 |
| 1639719214 | Katina Lynn Sadler | Case Manager/Care Coordinator | 925 Highway Vv, Kennett, MO 63857 | 2020-01-10 |
| 1053964478 | Tonya Renee Bridges | Peer Specialist | 925 Highway Vv, Kennett, MO 63857 | 2019-07-24 |
| 1215598404 | Aaron Mark Floyd | Behavior Technician | 925 Highway Vv, Kennett, MO 63857-0071 | 2019-06-27 |
| 1699235960 | Stephanie Martin | Behavior Technician | 925 Highway Vv, Kennett, MO 63857 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760027023 | Paula Ellen Newton | Recreation Therapist | 21539 S Soryl Ave, Peculiar, MO 64078-9253 | 2019-11-11 |
| 1528552320 | Christina Renee Brown | Recreation Therapist | 4318 Sunridge Dr Apt D, Saint Louis, MO 63125-3472 | 2018-06-15 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1154966182 | Corrin Nicole Heesch | Recreation Therapist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2019-11-13 |
| 1033695846 | Alexis Laura Mild | Recreation Therapist | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2018-07-15 |
| 1871742908 | Lynne Marie Cruse | Recreation Therapist | 11786 Westline Industrial Dr, Saint Louis, MO 63146-3402 | 2008-09-12 |
| 1104099894 | Erin F. Owens | Recreation Therapist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2008-04-02 |
| 1730108440 | Larry Lester Wood | Recreation Therapist | 4801 E Linwood Blvd, Recreation Therapy 135, Kansas City, MO 64128-2226 | 2006-07-19 |
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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.