STACEY DIANE REDFERN (NPI# 1427471648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427471648 |
| Entity Type | Individual |
| Full Name | STACEY DIANE REDFERN |
| Credential | LMT |
| Practice Address |
3952 E 42nd St Suite Aa Odessa TX 79762-5932 |
| Practice Telephone | 9045256731 |
| Practice Fax Number | 4323622326 |
| Mailing Telephone | 9045256731 |
| Mailing Fax Number | 4323622326 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT118650 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3952 E 42ND ST SUITE AA |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-5932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518028190 | Edward Carrol Rowland | Chiropractor | 3952 E 42nd St, Ste Aa, Odessa, TX 79762-5932 | 2006-12-13 |
| 1447815550 | Leslie Molinar | Massage Therapist | 3952 E 42nd St, Odessa, TX 79762-5932 | 2019-05-03 |
| 1124408414 | Rowland Chiropractic Clinic, PC | Clinic/Center | 3952 E 42nd St, Ste J, Odessa, TX 79762-5932 | 2015-06-02 |
| 1831511641 | Beatrice Valenzuela | Massage Therapist | 3952 E 42nd St, Odessa, TX 79762-5932 | 2014-01-13 |
| 1003240383 | Lyn Childress | Massage Therapist | 3952 E 42nd St, Suite Aa, Odessa, TX 79762-5932 | 2013-08-22 |
| 1598199887 | Katelyn D Bright | Massage Therapist | 3952 E 42nd St, Suite Aa, Odessa, TX 79762-5932 | 2013-08-22 |
| 1831324995 | Carol Lee Savoie | Specialist | 3952 E 42nd St, Suite Aa, Odessa, TX 79762-5932 | 2009-05-19 |
| 1407081631 | Charisse Foreman | Specialist | 3952 E 42nd St, Suite Aa, Odessa, TX 79762-5932 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376999169 | Lisa Tatom | Massage Therapist | 319 W 50th St, Odessa, TX 79764-4115 | 2016-05-11 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1780019869 | Jan Lee Bivins | Massage Therapist | 322 N Texas Ave Ste 2, Odessa, TX 79761-5184 | 2013-09-09 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| 1578798450 | Patricia Rodriguez | Massage Therapist | 3641 N. Dixie Blvd, Odessa, TX 79762 | 2009-05-21 |
| 1689809642 | Mirna Hestand | Massage Therapist | 1428 E 8th St, Odessa, TX 79761-4803 | 2009-05-20 |
| 1598917999 | Concetta Vittoria Dipiazza | Massage Therapist | 13923 Chandron Dr, Odessa, FL 33556-4327 | 2008-10-16 |
| 1750549937 | Brittany Leann Bowen | Massage Therapist | 1301 Wedgewood Ave, Odessa, TX 79761-3437 | 2008-05-24 |
| 1447815550 | Leslie Molinar | Massage Therapist | 3952 E 42nd St, Odessa, TX 79762-5932 | 2019-05-03 |
| 1831511641 | Beatrice Valenzuela | Massage Therapist | 3952 E 42nd St, Odessa, TX 79762-5932 | 2014-01-13 |
| Find all providers in ODESSA | ||||
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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.