STACIE ROSE


Address: 131 Hartwell Ave, Lexington, MA 02421-3105
Phone: 9542323404

STACIE ROSE (NPI# 1871194381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871194381
Entity Type Individual
Full Name STACIE ROSE
Credential NP-C
Practice Address 131 Hartwell Ave
Lexington
MA 02421-3105
Practice Telephone 9542323404
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
254538 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 131 HARTWELL AVE
City LEXINGTON
State MA
Zip Code 02421-3105

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1538641956 Jill Or Planeta Social Worker 40 Taft Ave, Lexington, MA 02421 2018-09-01
1902390388 Erika Yaneth Valek Counselor 125 Hartwell Avenue, Lexington, MA 02421 2018-06-19
1366743668 Elizabeth Ann Murphy Social Worker 17 Stedman Rd, Lexington, MA 02421 2010-11-03
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1780829556 Lynn Joan Meltzer Psychologist Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 2008-12-09
1962666511 Kristin Stanley Rullo Optometrist 21 Worthen Road, Lexington, MA 02421 2008-07-14
1861660201 Jillian S Imagire Radiology Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 2008-02-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184225161 Christina Chan Sok Nurse Practitioner 24 Hartwell Ave # 204, Lexington, MA 02421-3132 2020-11-05
1952900870 Sarah Elizabeth Clark Nurse Practitioner 1309 Morning Side Ct, Lexington, KY 40509-2353 2020-10-21
1629677745 Lisa Elaine Coleman Nurse Practitioner 2241 Gulfstream Dr, Lexington, KY 40504-3273 2020-10-20
1578161303 Mariem Kader Nurse Practitioner 3622 White Pine Dr, Lexington, KY 40514-1740 2020-10-14
1023616125 Kimberly Dawn Calloway Nurse Practitioner 5306 E Blocher Rd, Lexington, IN 47138-8803 2020-10-12
1649878992 Margaret Bunch Nurse Practitioner 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 2020-10-09
1831701572 Jillian Leigh Butcher Nurse Practitioner 2917 Mahala Ln, Lexington, KY 40509-8555 2020-08-22
1033721154 Heart Rescue Cpr LLC Nurse Practitioner 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 2020-08-19
1619588241 Jordyn L Bush Nurse Practitioner 124 Clay Ave, Lexington, KY 40502-1702 2020-08-17
1982214466 Stephanie Suzanne Johnson Nurse Practitioner 3304 Tyler Ct, Lexington, KY 40509-1876 2020-08-09
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Competitor

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City LEXINGTON
Zip Code 02421

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Dataset Information

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.

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