STACEY L. GAZAN (NPI# 1861981359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861981359 |
| Entity Type | Individual |
| Full Name | STACEY L. GAZAN |
| Other Name | STACEY L. BURNS |
| Credential | ARNP |
| Practice Address |
1845 Veterans Park Dr Ste 110 Naples FL 34109-0493 |
| Practice Telephone | 2396241160 |
| Practice Fax Number | 2396241161 |
| Mailing Telephone | 2396241160 |
| Mailing Fax Number | 2396241161 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9284166 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN9284166 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | QZU9S | 01 |
| FL | 100227400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9059 Estero River Cir, Estero, FL 339284400 | 2699989176 |
| Street Address |
1845 VETERANS PARK DR STE 110 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-0493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407838519 | Lawrence L Kohn | Internal Medicine | 1845 Veterans Park Dr Ste 110, Naples, FL 34109-0493 | 2005-11-15 |
| 1043299985 | Paulos Yohannes | Urology | 1845 Veterans Park Dr Ste 110, Naples, FL 34109-0493 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100319 | Stephanie Kopel | Nurse Practitioner | 681 4th Ave N, Naples, FL 34102-5729 | 2019-11-27 |
| 1306310107 | Raisa Genao | Nurse Practitioner | 1285 Creekside Blvd E Unit 102, Naples, FL 34109-0595 | 2019-01-15 |
| 1841761368 | Vanessa Fulton | Nurse Practitioner | 350 7th St N, Naples, FL 34102-5754 | 2018-12-10 |
| 1730629718 | Ashley Ruffing | Nurse Practitioner | 311 9th St N, Naples, FL 34102-5885 | 2017-02-24 |
| 1831574359 | Sasha Takala | Nurse Practitioner | 6101 Pine Ridge Rd, 1st Floor Desk 12/13, Naples, FL 34119-3900 | 2015-07-27 |
| 1417181553 | Jennifer Leigh Coates | Nurse Practitioner | 120 Moorings Park Dr, Naples, FL 34105-2122 | 2009-05-04 |
| 1891773750 | Sara Walther | Nurse Practitioner | 120 Moorings Park Dr, Naples, FL 34105-2122 | 2006-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
| 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.