MRS. STACEY D VICKERY (NPI# 1376732156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376732156 |
| Entity Type | Individual |
| Full Name | MRS. STACEY D VICKERY |
| Practice Address |
5000 N Bowes Rd Tucson AZ 85749-8589 |
| Practice Telephone | 5205847732 |
| Practice Fax Number | 5205847701 |
| Mailing Telephone | 5205847732 |
| Mailing Fax Number | 5205847701 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
12457 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 878598 | 05 |
| Street Address |
5000 N BOWES RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85749-8589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376664292 | Celina Ruiz | Registered Nurse | 5000 N Bowes Rd, Tucson, AZ 85749-8589 | 2007-04-02 |
| 1235537606 | Connie Weaver | Specialist/Technologist | 5000 N Bowes Rd, Tucson, AZ 85749-8589 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1417349028 | Intermountain Centers for Human Develoment Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8851 East Tanque Verde, Tucson, AZ 85749 | 2015-02-19 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1861708547 | Nancy H Mcgibbon | Physical Therapist | 8920 E. Woodland Rd, Tucson, AZ 85749 | 2010-08-19 |
| 1366773103 | Lee J Weisbard | Pharmacist | 9115 E Tanque Verde Road, Tucson, AZ 85749 | 2010-01-19 |
| 1568612869 | Southwest Surgical Services | Specialist/Technologist, Other | 12125 E. Quesada Place, Tucson, AZ 85749 | 2008-09-23 |
| 1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
| 1124203682 | Marilou Errazo-searles | Registered Nurse | 11109 E Tanque Verde Rd, Tucson, AZ 85749 | 2008-01-03 |
| 1427142074 | Rgl Development, LLC | Assisted Living Facility | 9050 E Tanque Verde Road, Tucson, AZ 85749 | 2006-10-03 |
| Find all providers in zip 85749 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
| 1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
| 1417336900 | Allison Betsch | Psychologist | 3282 S Treasure Cove Pl, Tucson, AZ 85713-6855 | 2015-05-29 |
| 1528291374 | Deborah Davis | Psychologist | 7655 N Massingale Ct, Tucson, AZ 85741-1951 | 2009-08-27 |
| 1063644490 | Katherine Drake | Psychologist | 5400 E Williams Blvd, Apt. 15107, Tucson, AZ 85711-4411 | 2009-08-18 |
| 1932345337 | Catherine Saundra Jackanic | Psychologist | 8225 E Speedway Blvd, Apt 805, Tucson, AZ 85710-1740 | 2009-01-06 |
| 1558511386 | Wanda Jane Mullins | Psychologist | 4466 E Mossy Brook Pl, Tucson, AZ 85712-1158 | 2008-09-29 |
| 1831347228 | Sandra Bryant Lindemann | Psychologist | 461 S Bryant Ave, Tucson, AZ 85711-4775 | 2008-08-28 |
| 1215184189 | Michael Dahl | Psychologist | 1725 E Bilby Rd, Tucson, AZ 85706-4430 | 2008-08-22 |
| 1356598411 | Patricia Tanner Halverson | Psychologist | 8001 E Stella Rd, Tucson, AZ 85730-1920 | 2008-08-20 |
| Find all providers in TUCSON | ||||
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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.