MS. STACEY ANNE WILLIAMSON (NPI# 1548528086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548528086 |
| Entity Type | Individual |
| Full Name | MS. STACEY ANNE WILLIAMSON |
| Credential | NP-C |
| Practice Address |
805 W Cedar St Standish MI 48658 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9898464888 |
| Practice Fax Number | 9898463538 |
| Mailing Telephone | 9893629411 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.13045-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN.369896 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
69512 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810028149 | 05 | |
| OH | 0112055 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639365232 | Stacey Danielle Williamson | Developmental Therapist | 465 Basswood Ln, Normal, IL 61761-5764 | 2007-09-18 |
| 1487016978 | Stacey Williamson | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Central Bldg Room 600d, Miami, FL 33136-1005 | 2016-03-23 |
| 1144699547 | Stacey Williamson | Nurse Practitioner | 7171 N Dale Mabry Hwy, Tampa, FL 33614-2665 | 2015-09-16 |
| 1457667891 | Stacey A Williamson | Physician Assistant | 12442 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223-0803 | 2010-08-24 |
| Street Address |
805 W CEDAR ST |
| City | STANDISH |
| State | MI |
| Zip Code | 48658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156015 | Muhammed Rashid Mirza | Internal Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2005-06-28 |
| 1770105652 | Mclaren Central Michigan | Clinic/Center | 805 W Cedar St, Standish, MI 48658-9526 | 2020-05-13 |
| 1710458195 | Caitlyn Hopkins | Physician Assistant | 805 W Cedar St, Standish, MI 48658-9526 | 2018-12-11 |
| 1740769793 | Andrew Allan Slocum | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658-9526 | 2018-08-10 |
| 1821523424 | Andrew Lang | Occupational Therapist | 805 W Cedar St, Standish, MI 48658-9526 | 2017-04-21 |
| 1790237840 | Amy Kerkela | Physician Assistant | 805 W Cedar St, Standish, MI 48658-9526 | 2016-10-25 |
| 1144779885 | Ascension Standish Hospital | Family Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2016-09-22 |
| 1609321595 | Lakhvir Kaur | Family Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2016-08-20 |
| 1861888034 | Caitlin Brandsdorfer | Internal Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2015-04-14 |
| 1972851608 | Family Gastroenterology P L L C | Internal Medicine | 805 W Cedar St, Standish, MI 48658-9526 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136810 | Gregory John Haven | Behavioral Analyst | 2737 Deep River Road, Standish, MI 48658 | 2020-02-19 |
| 1568797579 | Mallori Ann Dzurka | Dietitian, Registered | 805 W. Cedar, Standish, MI 48658 | 2009-10-08 |
| 1548497399 | St. Mary's of Michigan | General Acute Care Hospital | 805 West Cedar, Standish, MI 48658 | 2009-06-19 |
| 1043479801 | Jeffrey S. Kimball, D.c. | Chiropractor | 401 E. Cedar St., Standish, MICHIGAN 48658 | 2008-06-06 |
| 1356549414 | Benjamin E Brummer | Dentist | 116 N Main, Standish, MI 48658 | 2007-07-10 |
| 1568580272 | Muhammed R Mirza Md | Internal Medicine | 805 W Cedar Street, Standish, MI 48658 | 2007-03-27 |
| 1619020856 | Bay Human Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 S Forest Street, Standish, MI 48658 | 2007-01-19 |
| 1659480457 | Standish Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 529 S Main St, Suite G, Standish, MI 48658 | 2006-08-29 |
| 1437690419 | James Spegel | Social Worker | 1000 W Cedar St, Standish, MI 48658 | 2017-03-10 |
| 1881638799 | Andrew Raymond Dwan | Dentist | 206 S Main St, Standish, MI 48658 | 2006-06-15 |
| Find all providers in zip 48658 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769793 | Andrew Allan Slocum | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658-9526 | 2018-08-10 |
| 1467560540 | Nicole Chase | Nurse Practitioner | 111 Ossipee Trl E, Suite 1142, Standish, ME 04084-6464 | 2006-08-28 |
| 1952323032 | Susan Elizabeth Jock | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658-9526 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
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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.