Casey Lee Lucy Stine

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

500 Monroe St
Medford, OR 97501-3522

Phone

(541) 608-6868

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Casey Lee Lucy Eldredge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maslow Project

  • Case Management Agency
  • Medford, OR
  • NPI 1346883188
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1003694001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONROE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013522",
            "telephone_number": "541-608-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONROE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013522",
            "telephone_number": "541-608-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "CASEY",
        "middle_name": "LEE LUCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "ELDREDGE",
            "middle_name": "LEE LUCY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamara Stewart, MD
• Darla Jo Stiles, PA-C
• Eileen Weldon Stiles, NP
• Kara E Stiles, ANP
• Johnathan T Stillwagon
• Michelle Stivers, PHARMD
• Parker David Stockford
• Kelly C Stockton
• Jared Stockwell, PHARMD
• Christopher R Stoeckel

• Community Health Worker in Medford, OR
• Providers in Medford, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.