STACY A SORRELL (NPI# 1750575478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750575478 |
| Entity Type | Individual |
| Full Name | STACY A SORRELL |
| Credential | ARNP |
| Practice Address |
80 Highland St Laconia NH 03246-3235 |
| Practice Telephone | 6035243211 |
| Mailing Telephone | 6035243211 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
040258-23-08 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 HIGHLAND ST |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875368 | Eric T Meyer | Anesthesiology | 80 Highland St, Laconia, NH 03246-3235 | 2005-07-15 |
| 1568007763 | Philip Andrew Woodbury Iv | Physical Therapy Assistant | 80 Highland St, Laconia, NH 03246-3235 | 2019-11-12 |
| 1023659273 | Cassiah Zimra Sahl | Speech-Language Pathologist | 80 Highland St, Laconia, NH 03246-3235 | 2019-09-30 |
| 1316405459 | Korissa Bailey | Dietitian, Registered | 80 Highland St, Laconia, NH 03246-3235 | 2019-03-07 |
| 1477028710 | Anne Morrissette | Physical Medicine & Rehabilitation | 80 Highland St, Laconia, NH 03246-3235 | 2018-10-12 |
| 1861919318 | Samantha Downes | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2017-08-25 |
| 1568984821 | Bipin Belbase | Internal Medicine | 80 Highland St, Laconia, NH 03246-3235 | 2017-07-08 |
| 1326583121 | Robin Flynn | Counselor | 80 Highland St, Laconia, NH 03246-3235 | 2017-01-03 |
| 1083158455 | Michael R Chicoine | Physician Assistant | 80 Highland St, Laconia, NH 03246-3235 | 2016-12-05 |
| 1902255938 | Joyce S Sylvester | Occupational Therapist | 80 Highland St, Laconia, NH 03246-3235 | 2016-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942773890 | Tami Hayhurst | Nurse Practitioner | 40 Beacon St E, Laconia, NH 03246-3437 | 2019-01-03 |
| 1609237577 | Christopher Burns | Nurse Practitioner | 40 Beacon St E, Laconia, NH 03246-3437 | 2016-03-18 |
| 1902281454 | Nancy Gallagher | Nurse Practitioner | 111 Church St, Laconia, NH 03246-3432 | 2015-07-27 |
| 1376892737 | Cynthia S Ludwick | Nurse Practitioner | 111 Church St, Laconia, NH 03246-3432 | 2012-08-31 |
| 1508921826 | Judith A Mccarthy | Nurse Practitioner | 111 Church St, Laconia, NH 03246-3432 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444260 | Shine Psychiatry | Nurse Practitioner | 16 Route 111 Ste 4, Derry, NH 03038-4142 | 2020-10-13 |
| 1255949129 | Northstar Psychiatric Health Pllc | Nurse Practitioner | 380 Lafayette Rd Unit 11-121, Seabrook, NH 03874-4551 | 2020-07-16 |
| 1740800028 | Julie Cunningham Psychiatric Services Pllc | Nurse Practitioner | 17 Windham Rd, Pelham, NH 03076-2371 | 2020-04-16 |
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1912544008 | Onward Psychiatry, LLC | Nurse Practitioner | 2 Ash St, Hollis, NH 03049-6548 | 2019-12-08 |
| 1669036638 | Lisa Williams Aprn Pllc | Nurse Practitioner | 16 Vista Ridge Dr Unit 219, Londonderry, NH 03053-2479 | 2019-04-25 |
| 1609347087 | Psychiatric Empowerment Services, Pllc | Nurse Practitioner | 76 Northeastern Blvd Ste Office1b, Nashua, NH 03062-3174 | 2018-12-11 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1144732074 | Altum Psychiatric Services, Pllc | Nurse Practitioner | 1 Bridge St Ste 210, Plymouth, NH 03264-1623 | 2017-11-01 |
| 1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
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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.