MS. JUDITH E. STACEY-ROBAR (NPI# 1346306404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346306404 |
| Entity Type | Individual |
| Full Name | MS. JUDITH E. STACEY-ROBAR |
| Credential | ARNP |
| Practice Address |
1851 Central Pl S Suite 123 Kent WA 98030-7514 |
| Mailing Address |
10041 Se 220th St Kent WA 98031-2509 |
| Practice Telephone | 2535203060 |
| Practice Fax Number | 2538590043 |
| Mailing Telephone | 2535207086 |
| Mailing Fax Number | 2538590043 |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30006451 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PACIFICARE BEHAVIORAL HEA | 8307-01 | 01 |
| WA | REGENCE BLUE SHIELD | 5240ST | 01 |
| WA | AETNA | 0007266542 | 01 |
| WA | 9638511 | 05 | |
| WA | PREMERA BLUE CROSS | 227130100000 | 01 |
| Street Address |
1851 CENTRAL PL S SUITE 123 |
| City | KENT |
| State | WA |
| Zip Code | 98030-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780988154 | Stephanie A Moores | Nurse Practitioner | 1851 Central Pl S, Suite 123, Kent, WA 98030-7514 | 2010-12-29 |
| 1720100241 | Katrina Ellen Zabinska | Counselor | 1851 Central Pl S, #204, Kent, WA 98030-7514 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982113023 | Scott Christian Rohrbaugh | Nurse Practitioner | 5982 Rhodes Rd., Kent, OH 44240-8100 | 2017-09-20 |
| 1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
| 1629629597 | Christopher James Sheets | Nurse Practitioner | 505 Washington Ave S, Kent, WA 98032-5709 | 2019-09-23 |
| 1871088427 | Lisa Vivanco | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2018-06-26 |
| 1811498611 | Perry Githens | Nurse Practitioner | 62 Carter Rd., Kent, CT 06757 | 2018-02-27 |
| 1003339656 | Tina Steen | Nurse Practitioner | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2017-07-25 |
| 1376929232 | Laura Frantz | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2015-08-03 |
| 1265825194 | Naomi Rena True | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2015-03-17 |
| 1831588441 | Nicole Iwuoha | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2015-01-20 |
| 1609212539 | Kathryn Casey Howland | Nurse Practitioner | 325 W Gowe St, Kent, WA 98032-5892 | 2013-05-19 |
| Find all providers in KENT | ||||
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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.