STACEY LEE GOULET (NPI# 1912204892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912204892 |
| Entity Type | Individual |
| Full Name | STACEY LEE GOULET |
| Practice Address |
7030 E Broadway Blvd Suite 270 Tucson AZ 85710-2843 |
| Practice Telephone | 5202989281 |
| Practice Fax Number | 5202989718 |
| Mailing Telephone | 5202989281 |
| Mailing Fax Number | 5202989718 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | N/A | AZ | Nursing Service Related Providers |
| Street Address |
7030 E BROADWAY BLVD SUITE 270 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397739 | Nasir Adam Ibrahim | Home Health Aide | 4009 S 12th Ave, Tucson, AZ 85714-1452 | 2020-02-05 |
| 1164086989 | Donia Yei | Home Health Aide | 2602 W Aiden St, Tucson, AZ 85745-3341 | 2019-04-26 |
| 1942714621 | Giselle Vasquez | Home Health Aide | 9400 E Vallarta Trl, Tucson, AZ 85749-8159 | 2017-11-17 |
| 1427598473 | Queshana Baker | Home Health Aide | 4052 N 6th Ave, Apt B, Tucson, AZ 85705-2804 | 2017-02-24 |
| 1245864891 | Hesham Adam Ibrahim | Home Health Aide | 4009 S 12th Ave, Tucson, AZ 85714-1452 | 2020-02-22 |
| 1033687553 | Hands On Homecare LLC | Home Health Aide | 2480 W Ruthrauff Rd, Tucson, AZ 85705-1976 | 2018-11-02 |
| 1790054914 | Bernard Kennady | Home Health Aide | 6700 N Oracle Rd, Suite 118, Tucson, AZ 85704-7732 | 2011-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346557 | Prince Terrence C Woods | Home Health Aide | 15620 N 25th Ave Apt K209, Phoenix, AZ 85023-6514 | 2020-11-04 |
| 1174121396 | Comonique Russell | Home Health Aide | 2151 E Southern Ave Apt 1082, Mesa, AZ 85204-5358 | 2020-10-09 |
| 1083211288 | Kindred Hearts Assisted Living LLC | Home Health Aide | 530 E Mariposa St Apt 26, Phoenix, AZ 85012-1636 | 2020-10-01 |
| 1518570506 | Ideal Care LLC | Home Health Aide | 4135 N 108th Ave Ste 102, Phoenix, AZ 85037-5462 | 2020-08-28 |
| 1518578566 | Lakeisha Elem | Home Health Aide | 855 N Dobson Rd Apt 1045, Chandler, AZ 85224-6904 | 2020-08-13 |
| 1821612375 | Annie Mayson | Home Health Aide | 8517 W Chickasaw St, Tolleson, AZ 85353-8939 | 2020-06-01 |
| 1427670207 | James Verdieu | Home Health Aide | 2785 W Goldmine Mountain Dr, San Tan Valley, AZ 85142-4752 | 2020-05-14 |
| 1104452903 | People That Care, LLC. | Home Health Aide | 7034 W Peck Dr, Glendale, AZ 85303-4431 | 2020-03-13 |
| 1932734803 | Shane Amour Fulton | Home Health Aide | 2314 W Thomas Rd Apt 261, Phoenix, AZ 85015-5911 | 2020-03-11 |
| 1497386320 | Bachmeier Enterprises LLC | Home Health Aide | 14122 W Mcdowell Rd # 105, Goodyear, AZ 85395-2503 | 2020-01-29 |
| 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.