STACY MARIE ANDERSON (NPI# 1497933170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497933170 |
| Entity Type | Individual |
| Full Name | STACY MARIE ANDERSON |
| Credential | PA-C |
| Practice Address |
6350 W 143rd St Ste 102 Savage MN 55378-2890 |
| Practice Telephone | 9524280200 |
| Mailing Telephone | 9524280200 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068740 | Stacy Renee Anderson | Technician | 1510 Talon Dr, Cameron, MO 64429-2095 | 2019-08-17 |
| 1366646713 | Stacy Lynette Anderson | Social Worker | 1501 N Meridian Ave, Wichita, KS 67203-1942 | 2007-06-11 |
| 1306457031 | Stacy Anne Anderson | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-08-15 |
| 1144846064 | Stacy Ann Anderson | Registered Nurse | 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 | 2020-06-17 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1386094134 | Stacy Anderson | Case Manager/Care Coordinator | 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 | 2016-06-13 |
| 1376949842 | Stacy Diane Anderson | Counselor | 2601 Pasadena Blvd, Pasadena, TX 77502-3265 | 2014-11-11 |
| 1619210648 | Stacy Lee Anderson | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2013-03-28 |
| 1093020653 | Stacy Jennifer Anderson | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2010-08-07 |
| 1710114038 | Stacy Anderson | Pharmacist | 1401 N 1st St, Grand Junction, CO 81501-2139 | 2009-06-12 |
| Street Address |
6350 W 143RD ST STE 102 |
| City | SAVAGE |
| State | MN |
| Zip Code | 55378-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933153 | Michelle L Johnson | Family Medicine | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2005-09-27 |
| 1255718573 | Thuy Duong Nguyen Tran | Family Medicine | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2015-05-06 |
| 1952343691 | Allina Health System | Family Medicine | 6350 W 143rd St Ste 102, Savage, MN 55378-2890 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
| 1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
| 1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
| 1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
| Find all providers in zip 55378 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982946356 | Alicia Marie Skupa | Physician Assistant | 6350 W 143rd St Ste 200, Savage, MN 55378-2890 | 2013-03-22 |
| 1124666896 | Kelsey Kay Merck | Physician Assistant | 6150 Egan Dr, Savage, MN 55378-2699 | 2019-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.