STACY LEIST (NPI# 1689005852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689005852 |
| Entity Type | Individual |
| Full Name | STACY LEIST |
| Practice Address |
3444 Wisconsin Ave Vicksburg MS 39180-5331 |
| Practice Telephone | 6016380031 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R894641 | MS | Nursing Service Providers |
| Street Address |
3444 WISCONSIN AVE |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002920 | Warren Yazoo Mental Health Service | Clinic/Center | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2005-09-07 |
| 1083245195 | Katherine Sanders Doiron | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2020-01-28 |
| 1114575628 | Tyla Davenport | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2019-08-28 |
| 1770049033 | Mindy Crabb | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2019-02-12 |
| 1699248153 | Kisa Taylor | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2019-01-08 |
| 1104393263 | Celeta Hubbard | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2018-10-26 |
| 1104300557 | Keamber Harris | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2018-09-21 |
| 1255810073 | Traniecia Polk | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2018-08-13 |
| 1174000541 | Lathia M Hardy | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2018-07-27 |
| 1831676899 | Jessica Sanders | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1528676061 | Kelly Marie Mitchell | Registered Nurse | 1012 W Villas Dr, Vicksburg, MI 49097-9626 | 2020-07-21 |
| 1508234584 | Gladys Scott | Registered Nurse | 212 First Ave, Vicksburg, MS 39183-2011 | 2015-09-09 |
| 1568729846 | Cindy Quimby Higgins | Registered Nurse | 855 Dudley Rd, Vicksburg, MS 39180-6880 | 2012-04-11 |
| 1770876377 | Amy Calvert Campbell | Registered Nurse | 2080 S Frontage Rd Ste 112, Vicksburg, MS 39180-5882 | 2011-05-16 |
| 1144547555 | Erin Sullivan Bennett | Registered Nurse | 2100 Highway 61 North, Vicksburg, MS 39183-6243 | 2010-04-24 |
| 1053882928 | Ezrah Gunn | Registered Nurse | 1110 Clay St, Vicksburg, MS 39183-2912 | 2018-12-17 |
| 1215454418 | Whitney Barrier Brock | Registered Nurse | 100 Maxwell Dr, Vicksburg, MS 39180-4476 | 2017-08-28 |
| 1831637495 | Lindy Clifton | Registered Nurse | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2017-02-03 |
| 1073960647 | Andrew Hendrix | Registered Nurse | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2016-05-24 |
| 1255733358 | Natalie Edwards | Registered Nurse | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2014-09-19 |
| Find all providers in VICKSBURG | ||||
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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.