STACY NELSON (NPI# 1689027583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689027583 |
| Entity Type | Individual |
| Full Name | STACY NELSON |
| Credential | RN, RD |
| Practice Address |
500 W Thomas Rd Suite 600 Phoenix AZ 85013-4224 |
| Practice Telephone | 6024061140 |
| Mailing Telephone | 6024061140 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 863362 | AZ | Dietary & Nutritional Service Providers |
| N | 163W00000X | Registered Nurse | RN079860 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235541210 | Stacy Nelson | Speech-Language Pathologist | 925 W Huron St Apt 416, Chicago, IL 60642-5989 | 2014-05-27 |
| 1861640385 | Stacy Nelson | Occupational Therapist | 2428 Canyon Lake Dr, Rapid City, SD 57702-2402 | 2008-09-09 |
| 1962510222 | Stacy D Nelson | Nurse Practitioner | 701 Superior Ave Ste O, Munster, IN 46321-4038 | 2006-08-28 |
| 1154921005 | Stacy Nelson | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-10-29 |
| 1821535162 | Stacy Lynn Nelson | Counselor | 2501 N Green Valley Pkwy Ste 116, Henderson, NV 89014-2158 | 2017-01-25 |
| 1699011825 | Stacy Nelson | Nurse Practitioner | 5206 Research Dr, San Antonio, TX 78240 | 2012-12-16 |
| 1255684445 | Stacy Nelson | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-10-25 |
| 1386994325 | Stacy K Nelson | Nurse Practitioner | 110 N 29th St, Suite 201, Norfolk, NE 68701-4424 | 2012-09-18 |
| 1124280771 | Stacy L Nelson | Physician Assistant | 300 W 27th St, Lumberton, NC 28359-1408 | 2008-06-25 |
| 1003034703 | Stacy M Nelson | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2007-04-20 |
| Street Address |
500 W THOMAS RD SUITE 600 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609244 | James Craig Russell | Specialist | 500 W Thomas Rd, Ste 400, Phoenix, AZ 85013-4222 | 2005-06-14 |
| 1225557770 | Lauren E Cherrier | Pharmacist | 500 W Thomas Rd, Phoenix, AZ 85013-4224 | 2017-09-15 |
| 1063936219 | Sara Brenza | Nurse Practitioner | 500 W Thomas Rd, Ste 300, Phoenix, AZ 85013-4220 | 2017-07-31 |
| 1124570569 | Anna De La Huerta | Pharmacist | 500 W Thomas Rd, Phoenix, AZ 85013-4224 | 2016-11-02 |
| 1750734406 | Janet Ward | Dietitian, Registered | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2016-07-18 |
| 1669823530 | Karen R Broderick-strupp | Nurse Practitioner | 500 W Thomas Rd, Ste. 500, Phoenix, AZ 85013-4224 | 2016-06-22 |
| 1992174718 | Michelle Marie Walker | Advanced Practice Midwife | 500 W Thomas Rd, Ste 720 & Ste 730, Phoenix, AZ 85013 | 2015-09-22 |
| 1962870287 | Pwi Development LLC | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 480, Phoenix, AZ 85013-4224 | 2015-09-03 |
| 1144602012 | Rashna Shetty | Internal Medicine | 500 W Thomas Rd, Phoenix, AZ 85013 | 2015-06-26 |
| 1447632468 | Jacob Wesley Winans | Registered Nurse | 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013-4224 | 2015-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1255956264 | Carrie Standage-beier | Dietitian, Registered | 6831 S 42nd Pl, Phoenix, AZ 85042-5209 | 2020-06-15 |
| 1447875513 | Tyler M Florek | Dietitian, Registered | 13815 N 34th Ave, Phoenix, AZ 85053-5611 | 2020-06-14 |
| 1467074468 | Caitlin May Winsor | Dietitian, Registered | 4040 E San Gabriel Ave, Phoenix, AZ 85044-1328 | 2020-05-12 |
| 1366083883 | Cameron Scholtz | Dietitian, Registered | 2138 E Lawrence Rd, Phoenix, AZ 85016-1118 | 2019-10-06 |
| 1588219745 | Jordan S Jurek | Dietitian, Registered | 3815 E Bell Rd # 4250, Phoenix, AZ 85032-2122 | 2019-08-05 |
| 1255984035 | Rachel Lyn Masser | Dietitian, Registered | 2810 E Thomas Rd, Phoenix, AZ 85016-8010 | 2019-07-19 |
| 1811555915 | Laurie Bradley Mcdonald | Dietitian, Registered | 13842 S 32nd St, Phoenix, AZ 85044-3615 | 2019-06-03 |
| 1083270821 | Kaitlyn C Werner | Dietitian, Registered | 3815 E Bell Rd Ste 4250, Phoenix, AZ 85032-2122 | 2019-05-16 |
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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.