MRS. STACEY ALLISON SOUZA


Address: 275 Beck Ave Ms 5240, Fairfield, CA 94533-6804
Phone: 7077848070

MRS. STACEY ALLISON SOUZA (NPI# 1366599425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366599425
Entity Type Individual
Full Name MRS. STACEY ALLISON SOUZA
Credential RN, BSN
Practice Address 275 Beck Ave Ms 5240
Fairfield
CA 94533-6804
Practice Telephone 7077848070
Practice Fax Number 7074382500
Mailing Telephone 7077848070
Mailing Fax Number 7074382500
Enumeration Date 2007-01-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
444255 CA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA REGISTERED NURSE 444255 01

Office Location

Street Address 275 BECK AVE MS 5240
City FAIRFIELD
State CA
Zip Code 94533-6804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1821645383 Michelle Marie Hackett Marriage & Family Therapist 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 2019-08-20
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1629575303 Jeanne Ann Kiernan Dentist 690 Airman Dr, Apo, AA 94533 2018-04-10
1629596820 Max Kardos Student in an Organized Health Care Education/Training Program 801 Empire St., Fairfield, CA 94533 2017-09-07
1780119867 Justin Denhart Dickson Student in an Organized Health Care Education/Training Program 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 2017-04-26
1639613409 Behrooz Shafiezadeh Marriage & Family Therapist Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 2016-12-13
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770636318 Angelina Fidel Hill Registered Nurse 275 Beck Ave # Msc -240, Fairfield, CA 94533-6804 2007-01-18
1861559239 Mariejoy B Supapo Registered Nurse 275 Beck Avenue Ms 5-240, Fairfield, CA 94533-6804 2007-01-03
1205993037 Linda Marie Russum Registered Nurse 2206 Morrison Ln, Fairfield, CA 94534-9725 2007-01-02
1417416140 Sheka Jones Espy Registered Nurse 275 Beck Ave, Fairfield, CA 94533-6804 2019-03-12
1649752031 Sheri Colleen Buckley Registered Nurse 275 Beck Ave, Fairfield, CA 94533-6804 2018-08-31
1871074575 Kay Shirley Brown Registered Nurse 275 Beck Ave, Fairfield, CA 94533-6804 2018-08-22
1780172510 Rodney Darrell Butterfield Registered Nurse 275 Beck Ave # Ms 5-240, Fairfield, CA 94533-6804 2018-04-26
1194190827 Johnalice Waters Registered Nurse 275 Beck Ave, Fairfield, CA 94533-6804 2015-12-07
1386800399 Cayetone M Francis Registered Nurse 275 Beck Ave, Fairfield, CA 94533-6804 2008-07-30
1811039803 Carmelita Llave Registered Nurse 275 Beck Ave, Fairfield, CA 94533-6804 2007-02-13
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 94533

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Dataset Information

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.

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