STACY D MENEES (NPI# 1386815959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386815959 |
| Entity Type | Individual |
| Full Name | STACY D MENEES |
| Other Name | STACY D GARDNER |
| Credential | FNP |
| Practice Address |
432 N Pleasant Ave Centralia IL 62801-3006 |
| Mailing Address |
Po Box 955860 Saint Louis MO 63195-3988 |
| Practice Telephone | 6184368300 |
| Mailing Telephone | 6364985944 |
| Mailing Fax Number | 6185290586 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209007026 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Logan College Road, Carterville, IL 62918 | 6189569202 | 6189569202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898081 | Stacy Bartnik Menees | Internal Medicine | 1500 E Medical Center Dr, 3rd Floor Taubman Center Recp D, Ann Arbor, MI 48109-5362 | 2006-07-07 |
| Street Address |
432 N PLEASANT AVE |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972615920 | Jeremy S Bowen | Physician Assistant | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2006-08-31 |
| 1326685983 | Chelsea M Price | Dietitian, Registered | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2019-12-03 |
| 1235776816 | Jaci Elizabeth Lake | Dietitian, Registered | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2019-12-03 |
| 1396288106 | Physician Services and Consulting, LLC | Surgery | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2016-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575806 | Leslie Williams Apn LLC | Nurse Practitioner | 1007 Martin Luther King Dr, Centralia, IL 62801-3001 | 2018-04-16 |
| 1225583669 | Laurie Dalton | Nurse Practitioner | 1224 Green Street Rd, Centralia, IL 62801-8306 | 2016-08-15 |
| 1962647149 | Leslie Ann Williams | Nurse Practitioner | 203 E 3rd St Ste 2, Centralia, IL 62801-3901 | 2008-12-02 |
| 1821134115 | Agnes Boehning | Nurse Practitioner | 819 E Mccord St, Centralia, IL 62801-3044 | 2007-01-30 |
| 1003433723 | Dale D Pearce | Nurse Practitioner | 1535 W Mccord St, Centralia, IL 62801-5805 | 2020-06-29 |
| 1538649967 | Dana Leigh Trame | Nurse Practitioner | 400 N Pleasant Ave, Centralia, IL 62801-3056 | 2018-08-15 |
| 1487132387 | Brandy Harrison | Nurse Practitioner | 400 N Pleasant Ave, Centralia, IL 62801-3056 | 2018-08-02 |
| 1316454085 | Jessica Lynn Chapman | Nurse Practitioner | 1535 W Mccord St, Centralia, IL 62801-5805 | 2018-01-04 |
| 1861911026 | Alicia Ann Yaeger | Nurse Practitioner | 1601 Medlin Rd, Centralia, IL 62801-9531 | 2017-09-19 |
| 1588105654 | Jana Tull | Nurse Practitioner | 400 N Pleasant Ave, Centralia, IL 62801-3056 | 2017-03-09 |
| Find all providers in CENTRALIA | ||||
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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.