MRS. STACEY LYNN JOYNER (NPI# 1942577465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942577465 |
| Entity Type | Individual |
| Full Name | MRS. STACEY LYNN JOYNER |
| Credential | ARNP |
| Practice Address |
1223 Gateway Dr Ste 2c Melbourne FL 32901-2607 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3215490815 |
| Practice Fax Number | 3217680039 |
| Mailing Telephone | 3214341981 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN3183072 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP3183072 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | PENDING | 01 |
| FL | PENDING | 05 |
| Street Address |
1223 GATEWAY DR STE 2C |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902844699 | Irfan Riaz Imami | Surgery | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2006-06-03 |
| 1669802831 | Tannis Smith | Nurse Practitioner | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901 | 2013-11-25 |
| 1417188764 | Nina Jean Tachikawa | Pharmacist | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2009-08-04 |
| 1811017999 | Chad Ervin Campbell | Internal Medicine | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231985 | Kristy Mccoy Sharpe | Nurse Practitioner | 2032 Buescher Hill St, Melbourne, FL 32935-2170 | 2020-10-06 |
| 1326658840 | Deniece Santana | Nurse Practitioner | Health First Medical Group, LLC, 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2020-08-10 |
| 1891313334 | Kellie L Herrington | Nurse Practitioner | 1600 Sarno Rd Ste E, Melbourne, FL 32935-4938 | 2020-07-10 |
| 1871118455 | Denise M Marburger | Nurse Practitioner | 567 Trend Rd, Melbourne, FL 32904-7429 | 2020-06-10 |
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1932670510 | Susan Lynn Beattie | Nurse Practitioner | 4766 White Heron Dr, Melbourne, FL 32934-3293 | 2018-12-08 |
| 1831678994 | Joyce Colson | Nurse Practitioner | 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8564 | 2018-08-09 |
| 1104336577 | Peak Performance Medical | Nurse Practitioner | 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 | 2017-10-11 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1134676836 | Rachael Howard | Nurse Practitioner | 5545 N Wickham Rd Ste 104, Melbourne, FL 32940-7323 | 2016-09-09 |
| Find all providers in MELBOURNE | ||||
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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.