MRS. STACEY LYNN HOGG (NPI# 1386125391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386125391 |
Entity Type | Individual |
Full Name | MRS. STACEY LYNN HOGG |
Credential | FNP-C |
Practice Address |
707 Lassiter St Smithfield NC 27577 |
Mailing Address |
601 Keisler Dr Ste 200 Cary NC 27518-6567 |
Practice Telephone | 9199125160 |
Practice Fax Number | 9199380008 |
Mailing Telephone | 4436048441 |
Enumeration Date | 2018-08-27 |
Last Update Date | 2019-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
258715 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
707 LASSITER ST |
City | SMITHFIELD |
State | NC |
Zip Code | 27577 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083696868 | Tara Denise Bush | Nurse Practitioner | 707 Lassiter St, Smithfield, NC 27577-4613 | 2005-11-16 |
1902467533 | Katie Elizabeth Fontaine | Family Medicine | 707 Lassiter St, Smithfield, NC 27577-4613 | 2019-06-25 |
1174903538 | Stephanie Pritchett | Physician Assistant | 707 Lassiter St, Smithfield, NC 27577-4613 | 2015-06-01 |
1881614634 | Elizabeth Ann Phalen | Family Medicine | 707 Lassiter St, Smithfield, NC 27577-4613 | 2006-07-21 |
1629007398 | Health Zone Pllc | Family Medicine | 707 Lassiter St, Smithfield, NC 27577-4613 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
Find all providers in zip 27577 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760872220 | Cassandra Gaffney | Nurse Practitioner | 1150 Douglas Pike, Bryant University Health Services, Smithfield, RI 02917 | 2015-02-04 |
1184831950 | Renee Dusold Williams | Nurse Practitioner | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2007-05-17 |
1497870612 | Laurie Tina Anderson | Nurse Practitioner | 1150 Douglas Pike, Smithfield, RI 02917-1291 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
Find all providers with the same taxonomy |
City | SMITHFIELD |
Zip Code | 27577 |
Please comment or provide details below to improve the information on MRS. STACEY LYNN HOGG.
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.