STACY SPEARS (NPI# 1770572091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770572091 |
| Entity Type | Individual |
| Full Name | STACY SPEARS |
| Other Name | STACY SPEARS AHMED |
| Credential | ARNP |
| Practice Address |
23 E Ross Ave Sapulpa OK 74066-6423 |
| Mailing Address |
2021 S Elm Pl Broken Arrow OK 74012-7031 |
| Practice Telephone | 9182272016 |
| Mailing Telephone | 9188066461 |
| Mailing Fax Number | 9188066710 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0059224 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200045970A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2021 S Elm Pl, Broken Arrow, OK 740127031 | 9188066461 | 9188066710 |
| Street Address |
23 E ROSS AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181356 | Amber Baldwin | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-15 |
| 1578161881 | Sylvester Harris IIi | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-09 |
| 1366055014 | Amanda Williams | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-24 |
| 1861003618 | Precious D Miller | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-14 |
| 1487263778 | Melinda Vansandt | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-23 |
| 1700404449 | Jeremy John Myers | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-09 |
| 1336763945 | Jordan Patty | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-05-31 |
| 1720612799 | Tracy R Smith | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-27 |
| 1841824364 | Rebecca Gray | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-24 |
| 1366074551 | Shelley Tummons | Licensed Practical Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700364387 | Jacklyn Dawn Rose | Nurse Practitioner | 303 E Taft Ave Ste 3, Sapulpa, OK 74066-5651 | 2018-08-05 |
| 1699384438 | Lacy Gibbon | Nurse Practitioner | 949 E Taft Ave, Sapulpa, OK 74066-5728 | 2020-07-28 |
| 1043869407 | Emily Sheffel | Nurse Practitioner | 308 S Main St, Sapulpa, OK 74066-4110 | 2019-09-09 |
| 1235787672 | Misty Stephens | Nurse Practitioner | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 | 2019-08-28 |
| 1487112603 | Shantel Laniece Bolton | Nurse Practitioner | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 | 2019-03-06 |
| 1588136469 | Tracy Lynn Duckworth | Nurse Practitioner | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2018-12-17 |
| 1427099530 | Robert Allen Bauer Jr. | Nurse Practitioner | 1305 E Taft Ave, Sapulpa, OK 74066-6033 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
| 1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
| 1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
| 1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
| 1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
| 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.