STACIE WILSON (NPI# 1720248099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720248099 |
| Entity Type | Individual |
| Full Name | STACIE WILSON |
| Practice Address |
10 S Main St Unit B Weaverville NC 28787-8463 |
| Practice Telephone | 8284848440 |
| Practice Fax Number | 8284848445 |
| Mailing Telephone | 8284848440 |
| Mailing Fax Number | 8284848445 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2010-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
3184 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601812 | 05 | |
| NC | 6601780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
| 1902469075 | Stacie Michelle Wilson | Internal Medicine | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2019-04-15 |
| 1700208873 | Stacie Adrienne Wilson | Psychologist | 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 | 2014-01-09 |
| 1306112115 | Stacie Wilson | Pharmacist | 1019 Grandiflora Dr, Leland, NC 28451-7453 | 2012-03-26 |
| 1386884443 | Stacie Dionne Wilson | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2009-03-03 |
| Street Address |
10 S MAIN ST UNIT B |
| City | WEAVERVILLE |
| State | NC |
| Zip Code | 28787-8463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679613087 | Stacies Personal Care Services Inc | Home Health | 10 S Main St Unit B, Weaverville, NC 28787 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691389 | Fine Psychological Associates,pa | Psychologist | 392 Dula Springs Rd, Weaverville, NC 28787 | 2018-12-28 |
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
| 1396196846 | Kelli Revels | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787 | 2016-06-27 |
| 1417294992 | Jane Adams Crowe | Pharmacist | 121 Monticello Rd., Weaverville, NC 28787 | 2013-01-03 |
| 1669724233 | Sisters of Mercy Urgent Care, Inc | Durable Medical Equipment & Medical Supplies | 61 Weaver Blvd Ste 105, Weaverville, NC 28787 | 2012-10-08 |
| 1821347246 | Michael Forrest Mcguire | Counselor | 1057 Lower Flat Creek Road, Weaverville, NC 28787 | 2012-08-30 |
| 1730445909 | Mary Elizabeth Hemphill | Speech-Language Pathologist | 975 Reems Creek Road, Weaverville, NC 28787 | 2012-04-02 |
| 1467724633 | Ann Stuart | Veterinarian | 68 North Main Street, Weaverville, NC 28787 | 2012-02-03 |
| 1174829865 | Melissa Mcminn | Counselor | 901 Old Mars Hill Hwy, Weaverville, NC 28787 | 2011-01-28 |
| 1245557487 | Michael Barry Beckerman | Optometrist | 6 Weaverville Plaza, Weaverville, NC 28787 | 2010-04-28 |
| Find all providers in zip 28787 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323299 | Natalie E King | Technician | 12718 Winding Ridge Rd, Huntersville, NC 28078-7108 | 2020-07-13 |
| 1366064412 | Freedom LLC | Technician | 27 1st Ave Ne Ste 205, Hickory, NC 28601-6219 | 2020-05-12 |
| 1508404120 | Annette Williams | Technician | 118 Gunn Poole Rd, Mebane, NC 27302-8476 | 2019-12-13 |
| 1811451891 | Jamie Flynn | Technician | 2476 Johnsontown Rd, Thomasville, NC 27360-7596 | 2019-01-24 |
| 1043783517 | Carol Ann Carrodus | Technician | 135 Brevard St, Winston Salem, NC 27101-2204 | 2019-01-08 |
| 1588146013 | Giselle Mumayamona Bwensa | Technician | 21 Hawthorne Ln, Youngsville, NC 27596-2083 | 2018-08-31 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1245756634 | Nykysha Bethea | Technician | 3002 Greystone Pt Apt H, Greensboro, NC 27410-8944 | 2017-08-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
| Find all providers with the same taxonomy | ||||
| City | WEAVERVILLE |
| Zip Code | 28787 |
Please comment or provide details below to improve the information on STACIE WILSON.
| 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.