STACY PEARSON (NPI# 1902442304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902442304 |
| Entity Type | Individual |
| Full Name | STACY PEARSON |
| Credential | MD |
| Practice Address |
900 42nd St S Fargo ND 58103-2119 |
| Practice Telephone | 7012385652 |
| Mailing Telephone | 7012385652 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 07111972 | 05 |
| Street Address |
900 42ND ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992745970 | Barbara Meyer O'neal | Emergency Medicine | 900 42nd St S, Fargo, ND 58103-2119 | 2006-06-07 |
| 1063037786 | Zoe M Little Owl | Chiropractor | 900 42nd St S, Fargo, ND 58103-2119 | 2020-06-09 |
| 1558907956 | Chancey Allen Snyder | Psychologist | 900 42nd St S, Fargo, ND 58103-2119 | 2019-11-20 |
| 1184269466 | Julie Skauge | Internal Medicine | 900 42nd St S, Fargo, ND 58103-2119 | 2019-11-11 |
| 1184996209 | Sarah Robison | Anesthesiology | 900 42nd St S, Fargo, ND 58103-2119 | 2012-02-06 |
| 1043535420 | Jasper E Davis Dc Pllc | Chiropractor | 900 42nd St S, Fargo, ND 58103-2119 | 2010-03-29 |
| 1457383416 | Peter John Gurk | Family Medicine | 900 42nd St S, Fargo, ND 58103-2119 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427245372 | Jackson W Lind LLC | Psychologist | 2301 25th St S, Suite I, Fargo, ND 58103-6104 | 2007-09-25 |
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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.