Stacey Kitchens (NPI# 1114443678, PAC ID# 5395011175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114443678 |
| PAC ID by PECOS | 5395011175 |
| Professional Enrollment ID | I20171023001906 |
| Full Name | Stacey Kitchens |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Address |
331 Sunnybrook Rd Ridgeland MS 39157-1802 |
| Phone Number | 6019846925 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850293036 |
| Number of Group Practice Members | 811 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 331 Sunnybrook Rd, Ridgeland, MS 39157-1802 | 6019846925 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Physicians | 939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Turner | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 |
| Nawal Shaikh | Neurology | State of Mississippi-university of Mississippi Medical Center | 2500 N State St, Jackson, MS 39216-4500 |
| Michal Senitko | Pulmonary Disease | State of Mississippi-university of Mississippi Medical Center | 1900 Grandview Dr, Grenada, MS 38901-5066 |
| Amanda B. Greene | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213 |
| Wayne S Orr | General Surgery | State of Mississippi-university of Mississippi Medical Center | 161 River Oaks Dr, Canton, MS 39046-5375 |
| John C Simmons | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 5 Medical Blvd C, Hattiesburg, MS 39401-7231 |
| Christophor Reed | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Antonio A Gamble | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 960 Avent Dr, Grenada, MS 38901-5230 |
| Cynthia O Field | Pediatric Medicine | State of Mississippi-university of Mississippi Medical Center | 4400 Old Canton Rd, Suite 3, Jackson, MS 39211-5982 |
| Leticia Otchere-darko | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Street Address |
331 SUNNYBROOK RD |
| City | RIDGELAND |
| State | MS |
| Zip | 39157-1802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny Burgess | Psychologist, Clinical | State of Mississippi-university of Mississippi Medical Center | 331 Sunnybrook Rd, Ridgeland, MS 39157-1802 |
| Rachel K Dear | Physical Therapy | State of Mississippi-university of Mississippi Medical Center | 331 Sunnybrook Rd, Ridgeland, MS 39157-1802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monique Thompson | Physical Therapy | 7048 Old Canton Rd, Suite 1000, Ridgeland, MS 39157-1008 | |
| Joshua C Massey | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Julie B Dawson | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Anh M Giang | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Michael J Phillips | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Jason Burl Hicks | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Dominique R Chagnon | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Suzanne Webster | Nurse Practitioner | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Manisha Sethi | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Gary F Demott | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Find all physicians in zip 39157 | |||
| City | RIDGELAND |
| Zip Code | 39157 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIDGELAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacey Kitchens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.