MRS. STACY MARIE O'BRIEN (NPI# 1538585419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538585419 |
| Entity Type | Individual |
| Full Name | MRS. STACY MARIE O'BRIEN |
| Credential | APRN |
| Practice Address |
2780 Cleveland Ave Ste 809 Fort Myers FL 33901-5817 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439680 |
| Practice Fax Number | 2393439685 |
| Mailing Telephone | 2393439680 |
| Mailing Fax Number | 2393439685 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | APRN9278693 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010953400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9981 S Healthpark Dr Ste 454, Fort Myers, FL 339083618 | 2393439710 | 2393439715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050217 | Stacy O'brien | Dietitian, Registered | 68 Fairfield Ave, West Caldwell, NJ 07006-7604 | 2018-04-18 |
| 1730583360 | Stacy A O'brien | Audiologist | 1185 Dunlawton Ave, Suite 103, Port Orange, FL 32127-2905 | 2014-10-10 |
| Street Address |
2780 CLEVELAND AVE STE 809 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235140419 | Alvaro Jose Beltran | Internal Medicine | 2780 Cleveland Ave Ste 809, Fort Myers, FL 33901-5817 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| 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 |
|---|---|---|---|---|
| 1851497218 | Mary Hoke | Clinical Nurse Specialist | 13601 Plantation Rd, Fort Myers, FL 33912-4437 | 2006-09-15 |
| 1407851819 | Tammy L Mccarty | Clinical Nurse Specialist | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2005-06-14 |
| 1457904336 | Roberta Joyce Marino | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 | 2019-07-19 |
| 1730668765 | Gregg Scott Macdonald | Clinical Nurse Specialist | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2018-08-10 |
| 1891284469 | Tiffany Hendrickson | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2018-05-09 |
| 1972003499 | San Wong | Clinical Nurse Specialist | 2780 Cleveland Ave Ste 819, Fort Myers, FL 33901 | 2018-02-21 |
| 1215448162 | Jessica Noelle Teston | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2017-10-18 |
| 1962928994 | Miguel Angel Gonzalez | Clinical Nurse Specialist | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2017-08-22 |
| 1922534338 | Francesca Passalacqua | Clinical Nurse Specialist | 16281 Bass Rd, Suite 304, Fort Myers, FL 33908-9687 | 2017-05-04 |
| 1790140937 | David Bryan Gierut | Clinical Nurse Specialist | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966-4818 | 2015-12-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on MRS. STACY MARIE O'BRIEN.
| 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.