MRS. SHERRI STACEY


Address: 2862 Bungalow Dr, Idaho Falls, ID 83401-6011
Phone: 2085288262

MRS. SHERRI STACEY (NPI# 1932429545) 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) 1932429545
Entity Type Individual
Full Name MRS. SHERRI STACEY
Practice Address 2862 Bungalow Dr
Idaho Falls
ID 83401-6011
Practice Telephone 2085288262
Practice Fax Number 2085288262
Mailing Telephone 2085288262
Mailing Fax Number 2085288262
Enumeration Date 2010-06-04
Last Update Date 2010-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ID Other Service Providers

Office Location

Street Address 2862 BUNGALOW DR
City IDAHO FALLS
State ID
Zip Code 83401-6011

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1992227367 Brenda Emery Rehabilitation Practitioner 540 3rd Street, Idaho Falls, ID 83401 2017-07-07
1689068454 Addiction Treatment Centers of Idaho Community/Behavioral Health 211 S. Woodruff Avenue, Idaho Falls, ID 83401 2015-03-19
1386986412 Jennifer Lee Henderson Psychologist 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 2013-03-27
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1952638025 Allstar Counseling Inc. Case Management 550 2nd Street, Suite 269, Idaho Falls, ID 83401 2009-11-11
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366767790 Eliseo Guerra Specialist 457 I St, Idaho Falls, ID 83402-2842 2010-03-29
1609106079 Danielle Joy Adams Specialist 777 Hoopes Ave, Apt I-103, Idaho Falls, ID 83401-4972 2010-01-07
1306075098 Nevada Lee Walker Specialist 316 N Bellin Rd, Idaho Falls, ID 83402-2357 2009-07-02
1770729279 Charles Todd Storms Specialist 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 2009-01-05
1205030368 Idaho Falls Hand Surgery Specialist 933 S Utah, Idaho Falls, ID 83404 2007-06-13
1093860710 Brenda M Fritz Specialist 2570 Channing Way, Idaho Falls, ID 83404-7515 2007-01-24
1821106089 Daniel K Hinckley Specialist 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 2006-08-28
1063527158 Pro Heal Hyperbarics & Wound Care Specialist 2325 Coronaod, Idaho Falls, ID 83404 2006-08-20
1275552291 Mark Edward Freeman Specialist 1855 Madison Avenue, Idaho Falls, ID 83404 2006-07-19
1477579613 Laura Ann Punkoney Specialist District 7 Health Dept., 254 'e' Street, Idaho Falls, ID 83402-3597 2006-07-14
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Competitor

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City IDAHO FALLS
Zip Code 83401

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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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