STACIE NICOLE YOCOM (NPI# 1801367537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801367537 |
| Entity Type | Individual |
| Full Name | STACIE NICOLE YOCOM |
| Credential | CRNP |
| Practice Address |
853 Jefferson Ave Route E206 Memphis TN 38163 |
| Mailing Address |
141 Danforth Dr Harvest AL 35749-8589 |
| Practice Telephone | 9014486728 |
| Mailing Telephone | 2563260145 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
00000025083 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
853 JEFFERSON AVE ROUTE E206 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
| 1902198815 | Katarzyna Trebska-mcgowan | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue Ste: 303, Memphis, TN 38163 | 2011-05-11 |
| Find all providers in zip 38163 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518470780 | Ashley Poynor | Pediatrics | 853 Jefferson Ave # Route206, Memphis, TN 38103-2807 | 2017-11-09 |
| 1528300431 | Kent Avery Willis | Pediatrics | 853 Jefferson Ave Rm 201, Memphis, TN 38103-2807 | 2013-03-19 |
| 1659638310 | Jennifer Michelle Davidson | Pediatrics | 853 Jefferson Ave Ste 201, Memphis, TN 38103 | 2012-04-19 |
| 1003137571 | Mimily Harsono | Pediatrics | University of Tennessee (division of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 | 2010-06-18 |
| 1487835229 | Sandeep K. Chilakala | Pediatrics | 853 Jefferson Avenue, Suite 201, Memphis, TN 38103 | 2007-11-20 |
| 1346463130 | Mohamad Tammam Elabiad | Pediatrics | Ut College of Medicine, 920 Madison Avenue Suite C50, Memphis, TN 38163-0001 | 2007-04-10 |
| 1992732580 | Ramesh Krishnan | Pediatrics | 853 Jefferson Ave Ste 200, Memphis, TN 38103-2807 | 2006-06-27 |
| 1447217922 | Ajay Talati | Pediatrics | 1910 Nonconnah Blvd Ste 120, Memphis, TN 38132-2113 | 2006-04-27 |
| 1548803919 | Anna Kathryn Noel | Pediatrics | 1407 Union Ave Ste 700, Memphis, TN 38104-3641 | 2019-10-18 |
| 1780085787 | Isaac John M.d., P.c | Pediatrics | 6005 Park Ave, Memphis, TN 38119-5202 | 2014-09-09 |
| Find all providers in MEMPHIS | ||||
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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.