STACEY KYEA (NPI# 1407212756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407212756 |
| Entity Type | Individual |
| Full Name | STACEY KYEA |
| Other Name | STACEY SMOLINSKI |
| Credential | M.A. |
| Practice Address |
56 Biscayne Boulevard Troy NY 12182-1604 |
| Mailing Address |
56 Biscayne Blvd Troy NY 12182-1604 |
| Practice Telephone | 5184961553 |
| Mailing Telephone | 5188103333 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 1135199 | NY | Student, Health Care |
| Street Address |
56 BISCAYNE BOULEVARD |
| City | TROY |
| State | NY |
| Zip Code | 12182-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035937 | Alysa Jesica Evans | Nurse Practitioner | Riverview Pediatrics, 315 2nd Ave, Troy, NY 12182 | 2020-08-31 |
| 1528463155 | Kelli Siracusa | Occupational Therapist | 97 3rd Avenue, Troy, NY 12182 | 2014-10-24 |
| 1346591641 | Robin Jean Kennedy | Specialist | 597 Third Ave., Troy, NY 12182 | 2012-09-26 |
| 1093065609 | Denise Warren | Specialist | 597 3rd Avenue, Troy, NY 12182 | 2012-09-12 |
| 1063735850 | Laura Lynn Bolander | Student in an Organized Health Care Education/Training Program | 597 Third Avenue, Capital District Beginnings, Troy, NY 12182 | 2010-03-08 |
| 1083945521 | Shayne Elizabeth Johnson | Speech-Language Pathologist | 597 Third Ave, Troy, NY 12182 | 2010-01-22 |
| 1952471120 | Judith Walker Coletti | Registered Nurse | 415 Second Ave, Troy, NY 12182 | 2006-11-08 |
| 1073691234 | Matthew J Clemente | Dentist | 325 Oakwood Avenue, Troy, NY 12182 | 2006-11-02 |
| 1942383658 | David Carl Coletti | Surgery | 415 Second Avenue, Troy, NY 12182 | 2006-10-24 |
| 1982617395 | Meridian Communications Inc | Speech-Language Pathologist | 7 Meridian Ct, Troy, NY 12182 | 2006-08-15 |
| Find all providers in zip 12182 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604281 | Kaleigh Anne Higgins | Student in an Organized Health Care Education/Training Program | 10 Stoneledge Dr Apt 4, Troy, NY 12182-3513 | 2020-09-21 |
| 1497367585 | Raghuram Palepu | Student in an Organized Health Care Education/Training Program | 426 Tanner Dr., Troy, MI 48085-4808 | 2020-08-19 |
| 1699395145 | Bryan Bennett | Student in an Organized Health Care Education/Training Program | 813 Canton St, Troy, PA 16947-1452 | 2020-04-24 |
| 1659991107 | Pyo Jae Kim | Student in an Organized Health Care Education/Training Program | 805 Sandalwood Dr, Troy, MI 48085-1643 | 2020-04-24 |
| 1972122828 | Varsha Aravindabose | Student in an Organized Health Care Education/Training Program | 5586 Fawn Ct, Troy, MI 48098-2507 | 2020-04-10 |
| 1841755527 | Caleb Nelson Mcdonald | Student in an Organized Health Care Education/Training Program | 5000 Veterans Stadium Drive, Troy, AL 36082-0001 | 2019-02-06 |
| 1356888622 | Regina Wright | Student in an Organized Health Care Education/Training Program | 318 Arrowhead Dr, Troy, AL 36081-4406 | 2017-01-25 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780075457 | Anthony Luke Zaki | Student in an Organized Health Care Education/Training Program | 541 Georgian Ct, Troy, MI 48098-1770 | 2015-02-16 |
| 1578981833 | Hussein Baqer | Student in an Organized Health Care Education/Training Program | 151 4th Street, Troy, NY 12180 | 2014-04-03 |
| Find all providers in TROY | ||||
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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.