MRS. STACY NICLE MAHINDA (NPI# 1508254004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508254004 |
| Entity Type | Individual |
| Full Name | MRS. STACY NICLE MAHINDA |
| Practice Address |
41 Knollwood Dr Sherman IL 62684-9524 |
| Practice Telephone | 2174152596 |
| Mailing Telephone | 2174152596 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
41 KNOLLWOOD DR |
| City | SHERMAN |
| State | IL |
| Zip Code | 62684-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760994404 | Sarah Rae Wickenhauser | Nurse Practitioner | 2806 E Andrew Rd, Sherman, IL 62684 | 2017-11-03 |
| 1215229836 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 106 Illini Blvd, Sherman, IL 62684 | 2011-05-16 |
| 1609963214 | Leticia A. Drapiza | Family Medicine | 400 St. John's Drive, Sherman, IL 62684 | 2006-10-06 |
| 1366424723 | John P Folkerts | Chiropractor | 420 S Crossing Dr, Sherman, IL 62684 | 2005-11-18 |
| 1548386535 | Jill Noel Edwards | Speech-Language Pathologist | 485 Meredith Dr, Sherman, IL 62684-8180 | 2007-03-21 |
| 1225567936 | Taylor Edwards | Developmental Therapist | 485 Meredith Dr, Sherman, IL 62684-8180 | 2017-06-06 |
| 1659654218 | Sandra J Le | Pharmacist | 106 Illini Blvd, Sherman, IL 62684-8480 | 2011-09-21 |
| 1184134587 | Kathryn Elzerman | Pharmacist | 106 Illini Blvd, Sherman, IL 62684-8484 | 2017-10-11 |
| 1285934448 | Jennifer Relyea | Speech-Language Pathologist | 720 S 1st St, Sherman, IL 62684-9448 | 2010-10-21 |
| 1063971711 | Grayce Parker | Speech-Language Pathologist | 605 Stonehill Dr, Sherman, IL 62684-9504 | 2019-03-12 |
| Find all providers in zip 62684 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621851 | David Ballard | Student in an Organized Health Care Education/Training Program | 2302 Chandler Ct, Sherman, TX 75092-5428 | 2020-08-31 |
| 1184125585 | Jacqueline H Young | Student in an Organized Health Care Education/Training Program | 8001 S Us Highway 75 # 75, Sherman, TX 75090-5707 | 2018-02-22 |
| 1851915342 | Chike Floyd Okolocha Jr. | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-06-01 |
| 1730702572 | Kathryn T Stickley | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-05-27 |
| 1144843970 | Aristotle Almazar Callado | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-05-27 |
| 1902429749 | Michael Wayne Wagoner | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-05-27 |
| 1568085397 | Sowmya Kalathuru | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-05-27 |
| 1093338832 | Lini M Thomas | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-05-27 |
| 1386267128 | Justin Nahamin Noroozian | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-05-27 |
| 1578185468 | Shelby Spaniel Hocker | Student in an Organized Health Care Education/Training Program | 809 Gallagher Dr Ste D, Sherman, TX 75090-1754 | 2020-05-13 |
| Find all providers in SHERMAN | ||||
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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.