STACY ANN PETERS (NPI# 1609097179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609097179 |
| Entity Type | Individual |
| Full Name | STACY ANN PETERS |
| Practice Address |
6877 W Charleston Blvd Las Vegas NV 89117-1600 |
| Mailing Address |
212 Wicked Wedge Way Las Vegas NV 89148-2691 |
| Practice Telephone | 7023314874 |
| Mailing Telephone | 3234533866 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-08-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497876 | Stacy Peters | Speech-Language Pathologist | 739 Jeffco Blvd, Arnold, MO 63010-1432 | 2018-05-16 |
| 1407012321 | Stacy D Peters | Dietitian, Registered | 4810 N Loop 289, Lubbock, TX 79416-3025 | 2008-07-30 |
| 1275604845 | Stacy Peters | Occupational Therapist | 1545 E Pythian St, Springfield, MO 65802-2139 | 2006-11-13 |
| Street Address |
6877 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508239567 | Michelle Lyons | Marriage & Family Therapist | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2015-11-12 |
| 1538551130 | Antonio Brace | Counselor | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2015-02-19 |
| 1205233251 | Anthony Dastrup I | Counselor | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2014-11-19 |
| 1942606520 | Timothy Steven Melnyk | Psychologist | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2014-11-10 |
| 1730589417 | Elements of Motivation | Nurse Practitioner | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2014-08-29 |
| 1477965101 | Joanna Martino | Specialist | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2014-05-29 |
| 1023444353 | Claudia Barraza | Marriage & Family Therapist | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2013-09-18 |
| 1215379722 | Jose Louie Navarro | Counselor | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2013-07-25 |
| 1346519287 | Daniella Marie Elliott | Counselor | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2011-12-21 |
| 1508072141 | Dena Rachel Johns | Marriage & Family Therapist | 6877 W Charleston Blvd, Las Vegas, NV 89117-1600 | 2007-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| Find all providers in zip 89117 | ||||
| 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 |
|---|---|---|---|---|
| 1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
| 1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
| 1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
| 1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
| 1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
| 1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
| 1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
| 1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
| 1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
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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.