STACY D NELSON (NPI# 1962510222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962510222 |
| Entity Type | Individual |
| Full Name | STACY D NELSON |
| Credential | N.P. |
| Practice Address |
701 Superior Ave Ste O Munster IN 46321-4038 |
| Mailing Address |
Po Box 725 Cooperstown NY 13326-0725 |
| Practice Telephone | 2199227159 |
| Practice Fax Number | 2199224020 |
| Mailing Telephone | 6075473772 |
| Mailing Fax Number | 6075473259 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 320064 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008745A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Atwell Rd, Cooperstown, NY 133261301 | 6075473772 | 6075473259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235541210 | Stacy Nelson | Speech-Language Pathologist | 925 W Huron St Apt 416, Chicago, IL 60642-5989 | 2014-05-27 |
| 1861640385 | Stacy Nelson | Occupational Therapist | 2428 Canyon Lake Dr, Rapid City, SD 57702-2402 | 2008-09-09 |
| 1154921005 | Stacy Nelson | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-10-29 |
| 1821535162 | Stacy Lynn Nelson | Counselor | 2501 N Green Valley Pkwy Ste 116, Henderson, NV 89014-2158 | 2017-01-25 |
| 1689027583 | Stacy Nelson | Dietitian, Registered | 500 W Thomas Rd, Suite 600, Phoenix, AZ 85013-4224 | 2016-07-15 |
| 1699011825 | Stacy Nelson | Nurse Practitioner | 5206 Research Dr, San Antonio, TX 78240 | 2012-12-16 |
| 1255684445 | Stacy Nelson | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-10-25 |
| 1386994325 | Stacy K Nelson | Nurse Practitioner | 110 N 29th St, Suite 201, Norfolk, NE 68701-4424 | 2012-09-18 |
| 1124280771 | Stacy L Nelson | Physician Assistant | 300 W 27th St, Lumberton, NC 28359-1408 | 2008-06-25 |
| 1003034703 | Stacy M Nelson | Registered Nurse | 237 26th St, Ogden, UT 84401-3105 | 2007-04-20 |
| Street Address |
701 SUPERIOR AVE STE O |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306477310 | Dorothy Marie Dewitt | Nurse Practitioner | 1630 45th St, Munster, IN 46321-3963 | 2020-01-29 |
| 1013552041 | Ashley Arredondo | Nurse Practitioner | 9711 Valparaiso Dr Ste B, Munster, IN 46321-2910 | 2019-11-13 |
| 1700307832 | Sharon Grace Henn | Nurse Practitioner | 759 45th St Ste 104, Munster, IN 46321-2939 | 2017-06-28 |
| 1164828554 | Kirsten O'block Betkowski | Nurse Practitioner | 10012 Calumet Ave Ste A, Munster, IN 46321 | 2014-11-12 |
| 1275935132 | Monika Vasic | Nurse Practitioner | 1650 45th Ave Ste 2a, Munster, IN 46321-3960 | 2014-09-23 |
| 1508278045 | Michelle Ruhnke | Nurse Practitioner | 801 Macarthur Boulevard, Ste 203, Munster, IN 46321 | 2014-06-02 |
| 1114119278 | Jolene S. Gelarden | Nurse Practitioner | 503 Otis Bowen Dr, Munster, IN 46321-4158 | 2007-08-13 |
| 1184719700 | Suzanne Marie Ruiz | Nurse Practitioner | 10020 Donald S. Powers Drive, Munster, IN 46321 | 2006-10-03 |
| 1831703321 | Kathleen Marie Gonzales | Nurse Practitioner | 8135 Calumet Ave, Munster, IN 46321-1701 | 2020-09-02 |
| 1841824612 | Olivia Kay Ogden | Nurse Practitioner | 9108 Columbia Ave, Munster, IN 46321-2907 | 2020-03-02 |
| Find all providers in MUNSTER | ||||
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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.