STACY CORUM (NPI# 1609275502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609275502 |
| Entity Type | Individual |
| Full Name | STACY CORUM |
| Other Name | STACY BLOCK |
| Credential | WHNP-BC |
| Practice Address |
7440 W Frontage Rd Merriam KS 66203 |
| Mailing Address |
15448 W 90th St Lenexa KS 66219-1102 |
| Practice Telephone | 9132366455 |
| Mailing Telephone | 9139803351 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
76436 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7440 W FRONTAGE RD |
| City | MERRIAM |
| State | KS |
| Zip Code | 66203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548689979 | Meghan Elizabeth Vaglio | Student in an Organized Health Care Education/Training Program | 7440 W Frontage Rd, Merriam, KS 66203-4670 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952897621 | Kelsey Rae Nehrig | Physician Assistant | 7420 Switzer Road, Shawnee, KS 66203 | 2018-07-06 |
| 1215452552 | Joshua L Kiene | Dentist | 11005 W 60th St. #240, Shawnee Mission, KS 66203 | 2017-08-08 |
| 1114276730 | Kimberly Rigsby | Marriage & Family Therapist | 8826 Santa Fe Drive, Suite 210, Shawnee, KS 66203 | 2012-08-29 |
| 1851523567 | Sean Cailteux | Chiropractor | 7410 Switzer Rd, Shawnee, KS 66203 | 2009-08-13 |
| 1992228696 | Micha Kimberly Bastian | Pharmacist | 6440 Nieman Rd, Shawnee, KS 66203 | 2017-07-25 |
| 1285062695 | Elizabeth Marie Frieze | Psychologist | 7501 College Blvd, Suite 250, Overland Park, KS 66203 | 2013-10-22 |
| 1245636166 | Michaels Mission, LLC | Day Training, Developmentally Disabled Services | 4744 Bond St, Shawnee, KS 66203-1017 | 2014-11-05 |
| 1194983114 | Jenny Grace Cho | Surgery | 7420 Switzer, Shawnee, KS 66203-1239 | 2008-05-27 |
| 1154665586 | Lisa Michele Feiring | Speech-Language Pathologist | 9506 W 48th St, Merriam, KS 66203-1297 | 2012-11-26 |
| 1063908952 | Katrina P Connor | Midwife | 4831 Antioch Rd, Overland Park, KS 66203-1310 | 2018-07-03 |
| Find all providers in zip 66203 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596018 | Patricia Schafer | Nurse Practitioner | 9119 W 74th St Ste 268, Merriam, KS 66204-2268 | 2020-10-20 |
| 1447649629 | Tiffany Speck | Nurse Practitioner | 7440 Frontage Rd, Merriam, KS 66203-4670 | 2015-01-12 |
| 1457510125 | Pamela M Nicholson | Nurse Practitioner | 7440 Frontage Rd, Merriam, KS 66203-4670 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349306 | Brandi Nicole Mulryan | Nurse Practitioner | 10707 W 87th St, Overland Park, KS 66214-1652 | 2020-09-04 |
| 1477193027 | Duo Health | Nurse Practitioner | 2410 N Vinegate Cir, Wichita, KS 67226-3652 | 2020-01-12 |
| 1689020380 | Patricia Anne Smith | Nurse Practitioner | 634 Sw Mulvane St Ste 209, Topeka, KS 66606-1678 | 2016-05-11 |
| 1619340700 | Becky Waltner | Nurse Practitioner | 12200 W 106th St Ste 120, Overland Park, KS 66215-2305 | 2015-11-11 |
| 1508107517 | Melinda Hull | Nurse Practitioner | 11875 S. Sunset, Suite 300 Johnson County Health Department, Olathe, KS 66061-2794 | 2013-03-15 |
| 1760756449 | Jennifer Lynn Johnson | Nurse Practitioner | 7201 W 110th St, Suite 120, Overland Park, KS 66210-2373 | 2012-02-28 |
| 1114247913 | Dawn Marie Clifton | Nurse Practitioner | 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 | 2010-06-03 |
| 1295051092 | Debra K Carroll | Nurse Practitioner | 2030 Tecumseh, Manhattan, KS 67431 | 2010-04-19 |
| 1194055111 | Johni Kilton | Nurse Practitioner | 20375 W 151st St, Doctor's Building 1, Ste 403, Olathe, KS 66061-5306 | 2010-01-14 |
| 1811122435 | Karla K Currie | Nurse Practitioner | 2108 W 27th Street, Suite J, Lawrence, KS 66047-4236 | 2009-05-27 |
| Find all providers with the same taxonomy | ||||
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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.