MR. NATHAN JON STACKHOUSE


Address: 2380 3rd St, Bullhead City, AZ 86429-5502
Phone: 5672248821

MR. NATHAN JON STACKHOUSE (NPI# 1942497656) 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) 1942497656
Entity Type Individual
Full Name MR. NATHAN JON STACKHOUSE
Practice Address 2380 3rd St
Bullhead City
AZ 86429-5502
Mailing Address 1004 Hancock Rd
Bullhead City
AZ 86442-5946
Practice Telephone 5672248821
Mailing Telephone 5672248821
Enumeration Date 2007-09-26
Last Update Date 2007-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
3941434 AZ Behavioral Health & Social Service Providers

Other Providers NATHAN STACKHOUSE

NPI Name Taxonomy Address Enumeration
1487097838 Nathan Joseph Stackhouse Family Medicine 1740 W Taylor St, Chicago, IL 60612-7232 2013-04-15

Office Location

Street Address 2380 3RD ST
City BULLHEAD CITY
State AZ
Zip Code 86429-5502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356802912 Talas Harbor At Bullhead City Psychiatric Unit 831 Landon Drive, Bullhead City, AZ 86429 2019-03-27
1386159440 Marie Bridget Moran Nurse Practitioner 251 Moser Ave Unit 207, Bullhead City, AZ 86429 2017-12-11
1144625955 Scott Simpson Pharmacist 600 Higway 95, Bullhead City, AZ 86429 2014-10-23
1073929162 Soy Ramsumeer Registered Nurse 2007 Pegasus Ranch Rd, Bullhead City, AZ 86429 2014-07-09
1740544741 Marian Bautista Cid Nurse Practitioner 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 2012-06-25
1992901672 Ob-gyn Women's Center, PC Point of Service 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 2007-06-21
1093899379 Jose Hiram Alvarez Specialist 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 2006-10-24
1275572992 Jim D. Bates Thoracic Surgery (Cardiothoracic Vascular Surgery) 1378 Pioneer Trl, Bullhead City, AZ 86429-1112 2006-06-06
1972694131 Sam's Club Optical Technician/Technologist 600 Highway 95 Ste 200, Bullhead City, AZ 86429-5005 2006-09-27
1316004799 Sams West Inc Durable Medical Equipment & Medical Supplies 600 Highway 95 Ste 200, Bullhead City, AZ 86429-5005 2007-01-03
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518155498 Jim F Feren Counselor 1062 Hancock Rd, Bullhead City, AZ 86442-5947 2007-10-04
1619164571 Christopher Douglas Mills Counselor 2550 Tesota Way, Bullhead City, AZ 86442-5875 2007-09-25
1821377821 Meredith Fisher Counselor 1062 Hancock Rd, Bullhead City, AZ 86442-5947 2011-08-08
1134451339 Vasantha Munoz Counselor 1004 Hancock Rd, Bullhead City, AZ 86442-5946 2010-02-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215595707 Danielle Payne Counselor 4145 E Montecito St, Tucson, AZ 85711-4734 2019-05-30
1780135533 Eva Tomashefski Counselor 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 2016-10-17
1275905754 A & G Child Care Center LLC Counselor 537 E Racine Pl, Casa Grande, AZ 85122-1611 2015-10-23
1235547654 Brian Prince Counselor 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 2014-07-29
1750703682 Amber Pedersen Counselor 1312 E Hale St, Mesa, AZ 85203-3818 2014-01-12
1023399227 Sarah Joy Steele Counselor 7275 W Vineyard Rd, Laveen, AZ 85339-9805 2011-08-31
1255639902 Sylvia Nockideneh-tee Counselor East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 2011-03-04
1851600597 Denisse Leon-uribe Counselor 3689 W Pageant Pl, Yuma, AZ 85364-3262 2010-09-29
1457689259 Perla Nora Gonzalez Counselor 5832 W Ivanhoe St, Chandler, AZ 85226-1846 2009-12-07
1649508441 Jennifer Palomares Counselor 8706 W Morten Ave, Glendale, AZ 85305-3945 2009-12-07
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Competitor

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City BULLHEAD CITY
Zip Code 86429

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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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