STACY PATREACE GODWIN (NPI# 1750917001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750917001 |
| Entity Type | Individual |
| Full Name | STACY PATREACE GODWIN |
| Credential | LPN WCC |
| Practice Address |
7082 Saint Ives Ct Jacksonville FL 32244-0300 |
| Practice Telephone | 9043066623 |
| Mailing Telephone | 9043066623 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5217349 | FL | Nursing Service Providers |
| Street Address |
7082 SAINT IVES CT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244-0300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778727 | Stacy's Unlimited Support Services | Home Health | 7082 Saint Ives Ct, Jacksonville, FL 32244-0300 | 2020-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1255959474 | Tracey Fitzgerald | Licensed Practical Nurse | 50 N Laura St Ste 2560, Jacksonville, FL 32202-3664 | 2020-07-14 |
| 1295350015 | Derekia Johnson | Licensed Practical Nurse | 8278 Golden Bamboo Dr, Jacksonville, FL 32219-6012 | 2020-06-08 |
| 1265052930 | Cristal Lashonda Daniels | Licensed Practical Nurse | 873 Plumbridge Ct, Jacksonville, FL 32218-6138 | 2020-04-22 |
| 1063045433 | Brenda Cherry | Licensed Practical Nurse | 12281 Drift Ct, Jacksonville, FL 32218-0841 | 2020-02-13 |
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1619507936 | Cherika Philo | Licensed Practical Nurse | 4320 Sunbeam Rd Apt 219, Jacksonville, FL 32257-8828 | 2020-01-26 |
| 1467013805 | April Yolande Pollard | Licensed Practical Nurse | 1861 Boston Commons Way, Jacksonville, FL 32221-2131 | 2019-06-26 |
| 1184285652 | Cierra Elizabeth Carter | Licensed Practical Nurse | 906 W Monroe St Apt 401, Jacksonville, FL 32204-1184 | 2019-06-25 |
| 1063070480 | Edward Richard Cahill | Licensed Practical Nurse | 6539 Townsend Rd Lot 123, Jacksonville, FL 32244-4370 | 2019-05-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32244 |
Please comment or provide details below to improve the information on STACY PATREACE GODWIN.
| 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.