MRS. STACY LYNN GREGORY (NPI# 1558693127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558693127 |
| Entity Type | Individual |
| Full Name | MRS. STACY LYNN GREGORY |
| Credential | LPN |
| Practice Address |
949 Olive St Shreveport LA 71104-2103 |
| Practice Telephone | 3182223132 |
| Practice Fax Number | 3182223865 |
| Mailing Telephone | 3182223132 |
| Mailing Fax Number | 3182223865 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 291146 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528483591 | Stacy Laine Gregory | Nurse Practitioner | 1809 Capital Dr, Tyler, TX 75701-8438 | 2014-02-26 |
| 1720039522 | Stacy Gregory | Anesthesiology | 1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300 | 2006-05-15 |
| Street Address |
949 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285670356 | George Robert Merriman II | Surgery | 949 Olive St, Shreveport, LA 71104-2103 | 2006-06-20 |
| 1053832287 | Kimberly Rae Stanfield Townsend | Nurse Practitioner | 949 Olive St, Shreveport, LA 71104-2103 | 2017-06-28 |
| 1356722466 | Surgassist of Shreveport, LLC | Physician Assistant | 949 Olive St, Shreveport, LA 71104-2103 | 2015-06-15 |
| 1588731665 | Surgical Specialists of Shreveport, LLC | Surgery | 949 Olive St, Shreveport, LA 71104-2103 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821625757 | Shacarria Nashelle Owens | Licensed Practical Nurse | 1121 Heatherwood Dr, Shreveport, LA 71107-5534 | 2020-03-23 |
| 1750947768 | Bianca Jade Struggs | Licensed Practical Nurse | 3341 Youree Dr # 205, Shreveport, LA 71105-2149 | 2019-05-15 |
| 1538655402 | Tyquanna Burns | Licensed Practical Nurse | 6899 Patrick Ln Ste B3, Shreveport, LA 71129-9476 | 2018-07-03 |
| 1114459666 | Altrecia L Jackson | Licensed Practical Nurse | 7209 Louise St, Shreveport, LA 71108-4844 | 2017-04-03 |
| 1356712939 | Victoria Bradford | Licensed Practical Nurse | 2019 Bowman St, Shreveport, LA 71101-2001 | 2015-10-08 |
| 1609210228 | Paige D Burton | Licensed Practical Nurse | 7494 N Lakeshore Dr, Shreveport, LA 71107-8575 | 2013-04-25 |
| 1306073473 | Angela Laroe | Licensed Practical Nurse | 9514 Primrose Ln, Shreveport, LA 71118-4022 | 2009-06-16 |
| 1093334484 | Yvette Deem | Licensed Practical Nurse | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2020-04-15 |
| 1700419850 | Janet Douglas | Licensed Practical Nurse | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2020-02-18 |
| 1629620083 | Catie Arnold Griffith | Licensed Practical Nurse | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2019-07-15 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on MRS. STACY LYNN GREGORY.
| 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.