DR. STACY L NICHOLS (NPI# 1417976127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417976127 |
| Entity Type | Individual |
| Full Name | DR. STACY L NICHOLS |
| Credential | M.D. |
| Practice Address |
1095 Highway 15 S Hutchinson MN 55350-5000 |
| Practice Telephone | 3202345000 |
| Mailing Telephone | 3202345000 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
31828 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 5108055000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417409053 | Stacy Nichols | Counselor | 167 Park Ave, Naugatuck, CT 06770-2637 | 2016-10-31 |
| 1295276137 | Stacy Nichols | Occupational Therapy Assistant | 1 Georgian Gardens Dr, Potosi, MO 63664-1436 | 2017-03-11 |
| 1649459355 | Stacy A. Nichols | Counselor | 1010 N Main St, Wichita, KS 67203-3625 | 2007-10-30 |
| Street Address |
1095 HIGHWAY 15 S |
| City | HUTCHINSON |
| State | MN |
| Zip Code | 55350-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285605832 | Hutchinson Area Health Care | General Acute Care Hospital | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2006-01-31 |
| 1427656271 | Stephanie Rae Okash | Social Worker | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2020-10-14 |
| 1326653486 | Annika Kathleen Nelson | Speech-Language Pathologist | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2020-09-14 |
| 1598382673 | Cathlene Kay Burns | Physical Therapist | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2020-07-06 |
| 1073137378 | Danielle King | Occupational Therapist | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2020-06-02 |
| 1730703273 | Lisa Jayne Neppl | Occupational Therapist | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2020-06-01 |
| 1710473137 | Andrea M Schuth | Physician Assistant | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2018-07-09 |
| 1225535289 | Bradley John Hendrickson | Social Worker | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2018-04-06 |
| 1104352376 | Hannah Gartner | Physical Therapist | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2017-05-10 |
| 1821450891 | Amanda Rae Schwenn Black | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971521 | Carrie Morgando | Counselor | 255 Minnesota 7, Hutchinson, MN 55350 | 2019-03-14 |
| 1790243046 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1460 Montreal St, Hutchinson, MN 55350 | 2019-03-06 |
| 1376013953 | Complete Assessments LLC | Rehabilitation, Substance Use Disorder Unit | 340 5th Ave Sw, Hutchinson, MN 55350 | 2018-11-27 |
| 1891283743 | Abby Ann Trettin | Optometrist | 1059 Mn-15, Hutchinson, MN 55350 | 2018-04-26 |
| 1154862142 | Serena Roehl | Specialist/Technologist | 150 Orchard Ave Se, Hutchinson, MN 55350 | 2017-03-10 |
| 1093264616 | Jessica Munsch | Occupational Therapist | 544 Prospect St. Ne, Hutchinson, MN 55350 | 2016-09-23 |
| 1962835777 | Jacqui Marie Ruzicka | Counselor | 255 Highway 7 E, Hutchinson, MN 55350 | 2013-08-15 |
| 1023455243 | Actively Living Life Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1187 Blackhawk Dr Sw, Hutchinson, MN 55350 | 2013-05-29 |
| 1669711966 | Stacy Marie Vancura | Counselor | 902 Highway 15 S Ste 200, Hutchinson, MN 55350 | 2013-02-06 |
| 1619226040 | Samantha Heather Stevens | Registered Nurse | 246 S. Main St., Prairie River Home Care, Hutchinson, MN 55350 | 2012-08-30 |
| Find all providers in zip 55350 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212302 | Quinnessential Healthcare | Psychiatry & Neurology | 617 E 15th Ave, Hutchinson, KS 67501-5870 | 2020-10-09 |
| 1447215454 | Bruce Eugene Klosterhoff | Psychiatry & Neurology | 1715 E 23rd Ave, Hutchinson, KS 67502-1105 | 2006-04-20 |
| 1821450891 | Amanda Rae Schwenn Black | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2016-03-28 |
| 1134538374 | Hassan Khidr | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350 | 2014-08-12 |
| 1023451127 | Amer H Khan | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2013-04-09 |
| 1740577824 | Shean Mcknight | Psychiatry & Neurology | 1600 N Lorraine St, Ste 202, Hutchinson, KS 67501-5670 | 2011-07-08 |
| 1578708186 | Veronica Lynn Amey-perrin | Psychiatry & Neurology | 1600 N Lorraine St Ste 202, Hutchinson, KS 67501 | 2008-12-10 |
| 1083870695 | Navin Arun Natarajan | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2008-08-03 |
| 1013936723 | Eric Randall Nelson | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2006-07-19 |
| 1437178159 | Steven Francis Sonnek | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2006-07-19 |
| Find all providers in HUTCHINSON | ||||
| City | HUTCHINSON |
| Zip Code | 55350 |
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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.