STACY JO WILLIAMS (NPI# 1629031984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629031984 |
| Entity Type | Individual |
| Full Name | STACY JO WILLIAMS |
| Credential | PA-C |
| Practice Address |
5601 J St Sacramento CA 95819-3948 |
| Practice Telephone | 9164545922 |
| Practice Fax Number | 9164542156 |
| Mailing Telephone | 9164545922 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19518 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA04348 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RR/MEDICARE | P00269387 | 01 |
| TX | BLUE SHIELD | 8N8996 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188332 | Stacy Williams | Nurse Practitioner | 18 Nicolaus Dr, Hattiesburg, MS 39402-8112 | 2020-03-10 |
| 1003325457 | Stacy Williams | Developmental Therapist | 4904 Guinevere Ct, Durham, NC 27712-2559 | 2017-09-28 |
| 1649722539 | Stacy Williams | Community Health Worker | 402 Hawkins Ln, Eustis, FL 32726-3758 | 2016-10-26 |
| 1972954758 | Stacy Williams | Nurse Practitioner | 1600 Specht Point, Suite 127, Fort Collins, CO 80525 | 2016-06-23 |
| 1528429941 | Stacy Williams | Massage Therapist | 7309 Forest Ridge Dr, Schererville, IN 46375-3351 | 2016-03-12 |
| 1013392729 | Stacy Sharpe Williams | Social Worker | 20146 Oakflower Ave, Tampa, FL 33647-3648 | 2015-07-23 |
| 1013205814 | Stacy Lynn Williams | Behavioral Analyst | 802 Lampton Ln, Mcalester, OK 74501-7030 | 2011-07-13 |
| 1811299662 | Stacy Williams | Licensed Practical Nurse | 1321 Nelson Ave, Bronx, NY 10452-2719 | 2010-11-30 |
| 1457991424 | Stacy Mae Williams | Dental Hygienist | 1111 Langlade Road, Antigo, WI 54409 | 2020-01-08 |
| 1891263646 | Stacy Williams | Counselor | 2020 Thompson Rd, Coos Bay, OR 97420-2041 | 2018-11-09 |
| Street Address |
5601 J ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043250145 | Emil Anthony Tanghetti | Dermatology | 5601 J St, Sacramento, CA 95819-3948 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
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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.