STACY LYNN BALTIC


Address: 72 Gorrell Baltic Dr, Ravenswood, WV 26164-3871
Phone: 3045320054

STACY LYNN BALTIC (NPI# 1942819792) 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) 1942819792
Entity Type Individual
Full Name STACY LYNN BALTIC
Practice Address 72 Gorrell Baltic Dr
Ravenswood
WV 26164-3871
Practice Telephone 3045320054
Mailing Telephone 3045320054
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 72 GORRELL BALTIC DR
City RAVENSWOOD
State WV
Zip Code 26164-3871

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851787246 First Settlement Physical Therapy Physical Therapist 240 Washington St, Ravenswood, WV 26164 2015-04-13
1467840975 Gretchen Lynn Hammond Nurse Practitioner 859 Century Road, Ravenswood, WV 26164 2015-01-06
1780809095 Emily Mccoy Physical Therapy Assistant 200 South Ritchie Ave, Ravenswood, WV 26164 2007-04-13
1427110717 M A Zurita Hernando Ibrahim Physical Therapist 240 Washington Street, Ravenswood, WV 26164 2006-12-14
1770687121 Helen Dee Rymer Dentist 707 Washington Street, Ravenswood, WV 26164 2006-09-07
1093723207 Michael Joseph Witt Family Medicine Alcan Rolled Products, Century Road, Ravenswood, WV 26164 2006-08-03
1356793095 Ashley M Matheny Psychologist 606 Washington St, Ravenswood, WV 26164 2016-07-06
1013039965 Physical Therapy Providers Pllc Clinic/Center 240 Washington Street, Ravenswood, WV 26164 2007-04-04
1356403703 Wirt County Health Services Association, Inc Family Medicine 606 Washington Street, Ravenswood, WV 26164 2006-12-14
1700320579 Activate Healthcare - Constellium Clinic/Center 859 Century Road, Ravenswood, WV 26164-0068 2016-12-13
Find all providers in zip 26164

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235737586 Sharon Barnes Technician 12 Mountaineer Cir, Ravenswood, WV 26164-1162 2020-10-09
1932711587 Jacqueline Goodnight Technician 519 Gibbs St, Ravenswood, WV 26164-1011 2020-08-17
1861004418 Jessica May Brewer Technician 10682 Ravenswood Rd, Ravenswood, WV 26164-5907 2020-08-17
1144831264 Caprice Davis Technician 711 Mcintosh Ave, Ravenswood, WV 26164-1427 2020-08-12
1851902001 Leslie Baldwin Technician 2727 Flatwoods Rd, Ravenswood, WV 26164-3679 2020-08-12
1881205383 Alice M Stanley Technician 1776 Crooked Run Rd, Ravenswood, WV 26164-3924 2020-08-10
1669081303 Virginia Melofy Deboard Technician 404 Harpold Ave Apt 43, Ravenswood, WV 26164-1366 2020-07-29
1831708668 Jennifer Stocks Brunner Technician 361 Mill Dr, Ravenswood, WV 26164-5172 2020-07-28
1720697592 Crystal Rebekah Stagg Technician 212 1/2 Gallatin St, Ravenswood, WV 26164-1514 2020-07-28
1841809159 Cameron R Hord Technician 313 Good St, Ravenswood, WV 26164-4608 2020-07-23
Find all providers in RAVENSWOOD

Competitor

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City RAVENSWOOD
Zip Code 26164

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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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