STACEY THERECIA FORBES (NPI# 1821366592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821366592 |
| Entity Type | Individual |
| Full Name | STACEY THERECIA FORBES |
| Credential | NP |
| Practice Address |
707 E Main St Middletown NY 10940-2650 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 336988 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497050850 | Stacey Ann Forbes | Speech-Language Pathologist | 1934 Fleetwood St, Escondido, CA 92029-4154 | 2011-01-17 |
| Street Address |
707 E MAIN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275942 | Mihai Olteanu | Anesthesiology | 707 E Main St, Middletown, NY 10940 | 2005-06-15 |
| 1699373944 | Cara Maher | Speech-Language Pathologist | 707 E Main St, Middletown, NY 10940-2650 | 2020-10-09 |
| 1396358552 | Rachel Chassen | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-27 |
| 1942812623 | Priyanka Tadepalli | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-23 |
| 1447868807 | Jennifer Marie Wade | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-21 |
| 1558989004 | Anisha Vadehra | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-10 |
| 1740805464 | Zahid Mahmood | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1780209338 | Umbreen Ahmad | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1306460100 | Manal Saif | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-08 |
| 1083238984 | Arezoo Teimouri | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822000 | Janice Blake | Nurse Practitioner | 400 Saybrook Rd Ste 214, Middletown, CT 06457-4773 | 2019-07-05 |
| 1740637388 | Glenda Gagante | Nurse Practitioner | 103 Beacon St, Middletown, RI 02842-4805 | 2016-05-23 |
| 1538584255 | Olympia Rian Perna | Nurse Practitioner | 1000 Route 35, Suite 200, Middletown, NJ 07748-2606 | 2014-03-04 |
| 1568682581 | Valli Cohen | Nurse Practitioner | 325 High St, Middletown, CT 06459-3232 | 2007-05-01 |
| 1265550842 | Barbara Dedman | Nurse Practitioner | Davison Health Center 327 High St, Middletown, CT 06459-0001 | 2007-03-26 |
| 1366547358 | Susan M Bordonaro | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2006-09-14 |
| 1932133881 | Karla Kay Telfer | Nurse Practitioner | 602 N 5th St, Middletown, IN 47356-1008 | 2006-07-10 |
| 1487648812 | Barbara Manco | Nurse Practitioner | Rcwatc, 117 Seward Ave, Suite 12-16, Middletown, NY 10940 | 2005-08-31 |
| 1164428793 | Paula May Rutledge | Nurse Practitioner | 306 E Main St, Middletown, DE 19709-1482 | 2005-06-28 |
| 1336758747 | Kate Elizabeth Garvin | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2020-07-31 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.