STACEY L WARD (NPI# 1447684923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447684923 |
| Entity Type | Individual |
| Full Name | STACEY L WARD |
| Other Name | STACEY WARD-HAGEN |
| Credential | APRN |
| Practice Address |
751 N Rutledge St Suite 0300 Springfield IL 62702-4968 |
| Mailing Address |
Po Box 19654 Springfield IL 62794-9654 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175451229 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175451229 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 209-012973 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157750 | Stacey Ward | Technician | 175 Spur Rd, Martinsburg, WV 25404-7126 | 2020-09-03 |
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1841847761 | Stacey Ward | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-08-26 |
| 1255890497 | Stacey Ward | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2019-03-18 |
| 1841732393 | Stacey Ann Lafave Ward | Behavioral Analyst | 3253 Congress Ave, Saginaw, MI 48602-3106 | 2016-11-15 |
| 1588778690 | Stacey S. Ward | Social Worker | 10720 Carmel Commons Blvd, Suite 320a, Charlotte, NC 28226-3785 | 2006-08-18 |
| Street Address |
751 N RUTLEDGE ST SUITE 0300 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011863 | Lucinda S Buescher | Dermatology | 751 N Rutledge St, Springfield, IL 62702-4909 | 2005-05-24 |
| 1831798933 | Robin E Simon | Nurse Practitioner | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-10-20 |
| 1891308185 | Whitney Ringer | Nurse Practitioner | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-08-26 |
| 1518581149 | Aliza Hasan | Dermatology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-05-29 |
| 1215559943 | Sindhu Reddy Pisati | Psychiatry & Neurology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-05-15 |
| 1205458270 | Paul Hyatt Guerin | Psychiatry & Neurology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2020-05-13 |
| 1215597398 | Alireza Showraki | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2019-06-19 |
| 1881252013 | Andrew Paul Thaliath | Internal Medicine | 751 N Rutledge St, Springfield, IL 62702-4968 | 2019-06-03 |
| 1891352126 | Emily M Ackerman | Nurse Practitioner | 751 N Rutledge St, Springfield, IL 62702-4968 | 2019-05-22 |
| 1245725308 | Cory Edward Sykora | Psychiatry & Neurology | 751 N Rutledge St, Springfield, IL 62702-4968 | 2018-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252741 | Gina M Hughes | Clinical Nurse Specialist | 130 Maple St, Suite 205, Springfield, MA 01103 | 2006-02-03 |
| 1043766181 | Glenda Miller | Clinical Nurse Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2016-08-29 |
| 1326339037 | Helena Greaney | Clinical Nurse Specialist | 332 Birnie Ave, Springfield, MA 01107-1104 | 2011-04-28 |
| 1891837134 | Rebecca A Kahmke | Clinical Nurse Specialist | 3525 S National Ave Ste 207, Springfield, MO 65807-7315 | 2007-02-13 |
| 1922174515 | Theresa A. Witt | Clinical Nurse Specialist | 1900 S National Ave, Suite 3400, Springfield, MO 65804-2265 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728169 | Amy Lynn Katsikas | Clinical Nurse Specialist | 1405 North Green Mount Road, Suite 511, O'fallon, IL 62269-3494 | 2020-04-08 |
| 1407349343 | Tina Marie Bauman | Clinical Nurse Specialist | 1555 Barrington Rd Ste 1400, Hoffman Estates, IL 60169-5038 | 2018-06-13 |
| 1639547417 | Virginia Ann Baker | Clinical Nurse Specialist | 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 | 2015-09-09 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1821474388 | Deborah Ann Lawrence | Clinical Nurse Specialist | 17800 Kedzie Ave Fl 4, Hazel Crest, IL 60429-2029 | 2015-08-07 |
| 1245615947 | Gabriel Oluwakotanmi | Clinical Nurse Specialist | 8056 S Harper Ave, Chicago, IL 60619-4637 | 2015-07-23 |
| 1013398718 | Associated Physicians Group Ltd | Clinical Nurse Specialist | 4414 W Center Dr, Alton, IL 62002-5932 | 2015-06-18 |
| 1396148391 | Elizabeth Moon | Clinical Nurse Specialist | 252 Thrush Cir, Lindenhurst, IL 60046-7948 | 2014-10-03 |
| 1831435189 | Rena Thompson | Clinical Nurse Specialist | 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 | 2012-12-13 |
| 1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.