STACEY KING (NPI# 1649508078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649508078 |
| Entity Type | Individual |
| Full Name | STACEY KING |
| Credential | CFNP |
| Practice Address |
1630 Hospital Dr Suite D Santa Fe NM 87505-4772 |
| Practice Telephone | 5059823534 |
| Mailing Telephone | 5059823534 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2012-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-01546 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1932552940 | Stacey King | Behavioral Analyst | 10 Concordia Rd, Mahopac, NY 10541-1225 | 2016-07-14 |
| 1386765022 | Stacey Sheree King | Physical Therapist | 300 Clinchfield St Ste 320, Kingsport, TN 37660-3856 | 2007-04-02 |
| 1831112028 | Stacey Dawn King | Chiropractor | 5101 Ross Ave, Dallas, TX 75206 | 2006-07-26 |
| 1205485067 | Stacey King | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2019-09-05 |
| 1649717323 | Stacey King | Behavioral Analyst | 23115 Rider St, Perris, CA 92570-9723 | 2017-01-19 |
| 1598146631 | Stacey King | Nurse Practitioner | 21141 State Highway 59 Ste 1, Robertsdale, AL 36567-6740 | 2015-06-15 |
| 1619090578 | Stacey Lynn King | Family Medicine | 7600 Shaffer Pkwy, Littleton, CO 80127-3004 | 2007-04-07 |
| Street Address |
1630 HOSPITAL DR SUITE D |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249675 | Endoscopy Center of Santa Fe Lp | Clinic/Center | 1630 Hospital Dr, Santa Fe, NM 87505-4772 | 2006-01-17 |
| 1225589203 | William A. Leeson, Md, PC | Clinic/Center | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2016-10-14 |
| 1538532312 | Marcie Lichtenstein | Nurse Practitioner | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2015-11-03 |
| 1548573462 | Eric W. Anderson M.d. P.C. | Urology | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2010-07-20 |
| 1831374610 | Cyrus Ali | Surgery | 1630 Hospital Dr, Suite 240, Santa Fe, NM 87505-4772 | 2007-12-30 |
| 1235203134 | Steven C Robeson Md PC | Urology | 1630 Hospital Dr, Suite C, Santa Fe, NM 87505-4772 | 2006-11-20 |
| 1538239645 | Eric William Anderson | Urology | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2006-11-08 |
| 1275602617 | Steven Craig Robeson | Urology | 1630 Hospital Dr, Suite C, Santa Fe, NM 87505-4772 | 2006-11-07 |
| 1376623223 | Michael Milroy | Urology | 1630 Hospital Dr, Suite B, Santa Fe, NM 87505-4772 | 2006-10-16 |
| 1558381442 | Richard Myles Cook | Physician Assistant | 1630 Hospital Dr, Suite A, Santa Fe, NM 87505-4772 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832619 | Tabitha Burns | Nurse Practitioner | 5 Petroglyph Cir Ste A, Santa Fe, NM 87506-1001 | 2019-07-01 |
| 1689160756 | Jessica Gonzalez | Nurse Practitioner | 435 Saint Michaels Dr Ste 101, Santa Fe, NM 87505-7672 | 2018-07-02 |
| 1760973861 | Maria Roselyn Tecson Calungcaguin | Nurse Practitioner | 2904 Rodeo Park Dr E Ste 300b, Santa Fe, NM 87505-6309 | 2018-05-23 |
| 1861981193 | Sally Anne Smith | Nurse Practitioner | 51a Calle Gurule, Santa Fe, NM 87505-1413 | 2018-05-02 |
| 1689162588 | Wynn Vanhouten | Nurse Practitioner | 15230 Fir Rd, Santa Fe, TX 77517-2914 | 2018-04-25 |
| 1073961629 | Jessica James | Nurse Practitioner | 7109 Calientito Loop, Santa Fe, NM 87507-4613 | 2016-05-24 |
| 1831578343 | Heather Salazar | Nurse Practitioner | 6 Alondra Rd, Santa Fe, NM 87508-8701 | 2015-05-29 |
| 1336540319 | House Call Medical, LLC | Nurse Practitioner | 3141 New Highway 7, Santa Fe, TN 38482-5302 | 2014-09-10 |
| 1023430345 | Deirdre C Grimes | Nurse Practitioner | 1421 Luisa St Ste I, Santa Fe, NM 87505-4073 | 2014-01-07 |
| 1639345499 | Pamela Weisse | Nurse Practitioner | 224 Spruce St, Santa Fe, NM 87501-1624 | 2008-05-01 |
| Find all providers in SANTA FE | ||||
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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.