STACY GREETER, MD, PLLC (NPI# 1700311818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700311818 |
| Entity Type | Organization |
| Organization Name | STACY GREETER, MD, PLLC |
| Practice Address |
9030 58th Dr E Suite 101a, Room A Bradenton FL 34202-6108 |
| Practice Telephone | 9414130834 |
| Practice Fax Number | 9417615547 |
| Mailing Telephone | 9414130834 |
| Mailing Fax Number | 9417615547 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | DR. STACY LYNN GREETER (PHYSICIAN) |
| Authorized Official Telephone | 9042280777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
ME 128423 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | INDIVIDUAL NPI | 1215257845 | 01 |
| Street Address |
9030 58TH DR E SUITE 101A, ROOM A |
| City | BRADENTON |
| State | FL |
| Zip Code | 34202-6108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245322478 | Ginger Marie Talerico | Counselor | 9030 58th Dr E, Suite 103, Bradenton, FL 34202-6108 | 2006-09-28 |
| 1629323423 | Envision Counseling Services LLC | Counselor | 9030 58th Dr E, Ste 103, Bradenton, FL 34202-6108 | 2012-07-17 |
| 1982960654 | Kylee Sue Tuls | Counselor | 9030 58th Dr E, Suite 103, Bradenton, FL 34202-6108 | 2012-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225214877 | Wendy Blumenthal, Ph.d. | Clinic/Center | 3823 E State Road 64, Bradenton, FL 34208-9041 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937290 | In The Name of Children, LLC | Clinic/Center | 300 S Pine Island Rd Ste 224, Plantation, FL 33324-2620 | 2020-09-22 |
| 1700403698 | True Care Home Services Inc | Clinic/Center | 9139 Sw 227th Ter, Cutler Bay, FL 33190-1977 | 2020-06-26 |
| 1225661473 | The Center for Advanced Neurosciences | Clinic/Center | 13337 Sw 44th St, Davie, FL 33330-4713 | 2020-02-17 |
| 1528628856 | Modern Reality | Clinic/Center | 200 Knuth Rd Ste 101, Boynton Beach, FL 33436-4635 | 2019-06-18 |
| 1801450515 | Inspirational Care Counseling LLC | Clinic/Center | 12630 Bramfield Dr, Riverview, FL 33579-7774 | 2019-04-29 |
| 1942769567 | Veronica Castro, Psy.d., Pa | Clinic/Center | 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 | 2019-03-13 |
| 1780159061 | Solutions Center for Personal Growth | Clinic/Center | 664 Se Monterey Rd, Stuart, FL 34994-4410 | 2018-10-12 |
| 1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
| 1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
| 1598268906 | Risen Consultants LLC | Clinic/Center | 1470 Nw 107th Ave Unit19r, Sweetwater, FL 33172-2735 | 2018-03-12 |
| 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.