MRS. STACY DUHE JEFFERSON (NPI# 1841824828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841824828 |
| Entity Type | Individual |
| Full Name | MRS. STACY DUHE JEFFERSON |
| Practice Address |
1009 Polly Ave. Baytown TX 77520 |
| Practice Telephone | 2819681738 |
| Practice Fax Number | 8327694723 |
| Mailing Telephone | 2819681738 |
| Mailing Fax Number | 8327694723 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861645574 | Stacy Wayne Jefferson | Licensed Practical Nurse | 432 N Green St, Georgetown, OH 45121-1011 | 2008-10-25 |
| 1720492028 | Stacy Antoinette Jefferson | Family Medicine | 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 | 2014-06-13 |
| Street Address |
1009 POLLY AVE. |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194383745 | Keith A. Coburn | Dentist | 1224 Kilgore Rd., Baytown, TX 77520 | 2019-05-30 |
| 1427530856 | Domenique Roszette Gee | Specialist/Technologist | 2500 Market Street, Baytown, TX 77520 | 2018-09-01 |
| 1558793323 | Sasan Yadollahibastani | Dentist | 1105 E. James Ave., Baytown, TX 77520 | 2013-08-05 |
| 1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
| 1871816272 | Hyacynthia Mary Leonce-james | Counselor | 1610 James Bowie, Suite B108, Baytown, TX 77520 | 2010-03-12 |
| 1457507444 | Harbor Hospice of Baytown, Lp | Hospice Care, Community Based | 1610 James Bowie Dr., Suite D-111, Baytown, TX 77520 | 2008-08-11 |
| 1790982551 | Gregory Thomas Laliberte | Counselor | 401 West Texas Avenue, Cease Addiction Office, Baytown, TX 77520 | 2007-06-27 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1003943655 | Steven S Coggins Md | Anesthesiology | 9042 Northpoint Dr, Baytown, TX 77520 | 2007-02-28 |
| 1154460285 | Bobby Harold Hughes | Dentist | 1004 W Sterling, Baytown, TX 77520 | 2007-02-05 |
| Find all providers in zip 77520 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719059 | Kenesha Barnes | Pathology | 9120 Monica St, Beaumont, TX 77707-4634 | 2020-10-28 |
| 1417574922 | Thomas King Huard | Pathology | 112 Bellagio Dr, Austin, TX 78734-5081 | 2020-06-30 |
| 1932740313 | Stephanie Halliday | Pathology | 2023 Gentryside Dr Unit 102, Houston, TX 77077-3657 | 2019-10-07 |
| 1699232504 | Xia Wang | Pathology | 1920 Country Place Pkwy # 100, Pearland, TX 77584-2282 | 2019-02-27 |
| 1982178000 | Quantacia Miner | Pathology | 613 Bridgewood Cir Apt 524, Fort Worth, TX 76112-1729 | 2019-01-11 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1336694496 | Pheleicia Biggins | Pathology | 4116 Summitt Ridge Dr, Dallas, TX 75216-6016 | 2016-08-18 |
| 1447671292 | Alvin Spiekerman | Pathology | 16300 Addison Rd, Addison, TX 75001-5346 | 2013-12-20 |
| 1659704724 | Christopher Byers | Pathology | 6682 Escondido St, Irving, TX 75039-4208 | 2013-08-13 |
| 1740567841 | Stephen Ray Harlow | Pathology | 201 Laurence, #108, Heath, TX 75032 | 2011-11-03 |
| 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.