STACY LATHAM


Address: 1008 N Main St, Sikeston, MO 63801-5044
Phone: 5734727490

STACY LATHAM (NPI# 1457998809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457998809
Entity Type Individual
Full Name STACY LATHAM
Credential APRN, PMHNP-BC
Practice Address 1008 N Main St
Sikeston
MO 63801-5044
Practice Telephone 5734727490
Practice Fax Number 5734727521
Mailing Telephone 5734727490
Mailing Fax Number 5734727521
Enumeration Date 2019-12-04
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2019045345 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1008 N MAIN ST
City SIKESTON
State MO
Zip Code 63801-5044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659987725 Heather Vanpool Nurse Practitioner 1008 N Main St, Sikeston, MO 63801-5044 2020-09-23
1336612779 Rowdy James Phillips Registered Nurse 1008 N Main St, Sikeston, MO 63801-5044 2019-01-08
1538637939 Christopher White Pharmacist 1008 N Main St, Sikeston, MO 63801-5044 2018-11-05
1891270666 Alexandria M Barker Nurse Practitioner 1008 N Main St, Sikeston, MO 63801-5044 2018-09-27
1265936637 Jennifer Heuring Nurse Practitioner 1008 N Main St, Sikeston, MO 63801-5044 2018-03-21
1922501923 Kristin Presley Nurse Practitioner 1008 N Main St, Sikeston, MO 63801-5044 2018-03-15
1467952606 James Jeremiah Mooty Nurse Practitioner 1008 N Main St, Sikeston, MO 63801-5044 2018-02-14
1427575299 Sikeston Emergency Group LLC Physician Assistant 1008 N Main St, Sikeston, MO 63801-5044 2017-08-23
1053835918 Margaret Rachel Coppage Nurse Practitioner 1008 N Main St, Sikeston, MO 63801-5044 2017-08-01
1063956035 Kristain Dru Carroll Registered Nurse 1008 N Main St, Sikeston, MO 63801 2016-12-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689285082 Logan & Seiler Inc Pharmacy 102 Hospitality Drive, Suite B, Sikeston, MO 63801 2020-08-11
1992212153 Sharaye Gilmore Social Worker 135 Plaza Dr Suite 102, Sikeston, MO 63801 2018-01-09
1730606385 Megan Leann Schlosser Occupational Therapy Assistant Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 2017-08-24
1780130930 Delta South Adult Care Center LLC Clinic/Center 640 Colonel George E Day Parkway, Sikeston, MO 63801 2016-08-28
1013236421 Missouri Delta Medical Center Clinic/Center 1013 North Main, Sikeston, MO 63801 2010-05-25
1134361868 Sikeston Rehab, LLC Physical Therapy Assistant 806 S. Kingshighway, Sikeston, MO 63801 2009-03-26
1508066978 Paula Kaye Beck Occupational Therapist 2016 Oklahoma Ave, Sikeston, MO 63801 2007-07-23
1740497551 James D West Audiologist 903 South Kingshighway, Sikeston, MO 63801 2007-05-17
1619190162 Syed Muhammad Shahab Sayeed Psychiatry & Neurology 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 2007-04-11
1629195607 Melissa A Stewart Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 106 Dacus, Sikeston, MO 63801 2007-03-23
Find all providers in zip 63801

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801435821 Helen Morrill Nurse Practitioner 760 Plantation Blvd, Sikeston, MO 63801-5736 2019-12-23
1548729106 Amber Dawn Towe Nurse Practitioner 1012 N Main St, Sikeston, MO 63801 2019-03-13
1316430440 Brooke Carlyle Nurse Practitioner 123 Smith Ave, Sikeston, MO 63801-5239 2018-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316545254 Brenda S Halton Nurse Practitioner 1010 West Columbia Street, Farmington, MO 63640 2020-10-13
1376152546 Chijioke Francisca Mbah Nurse Practitioner 900 Sw 33rd St, Lees Summit, MO 64082-4191 2020-07-23
1740807825 Aldijana Sacic Nurse Practitioner 8525 Glenwood Dr, Saint Louis, MO 63126-1849 2020-07-06
1639796766 Courtney Paige Schult Nurse Practitioner 431 Stonewater Dr, Pevely, MO 63070-3210 2020-07-06
1912524059 Farah Lynn Shaddix Nurse Practitioner 1103 Warm Winds Dr, O Fallon, MO 63366-6327 2020-07-05
1669097119 Melanie Nicole Beckham Nurse Practitioner 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 2020-06-10
1215551973 Nicole Lynn Parker Nurse Practitioner 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 2020-05-28
1386273217 Andrea Morrow Wright Nurse Practitioner 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 2020-04-03
1700413580 Solange-belle Boma Nurse Practitioner 6326 Ne 44th St, Kansas City, MO 64117-1687 2020-03-24
1063044626 Beatriz Fortaleza Nurse Practitioner 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 2020-02-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City SIKESTON
Zip Code 63801

Improve Information

Please comment or provide details below to improve the information on STACY LATHAM.

Dataset Information

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.

Trending Searches