Stacy Bauman, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

296039 Issued in AZ

Practice address

15151 W Centerra Dr S
Goodyear, AZ 85338-2956

Phone

(623) 772-4800

NPI assigned

Jul 21, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Studdard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1043192206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 S 178TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853388042",
            "telephone_number": "630-347-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 W CENTERRA DR S",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382956",
            "telephone_number": "623-772-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3993 S 178th Dr",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853388042",
            "country_code": "US",
            "telephone_number": "630-347-1167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "STACY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "296039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "STUDDARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Gloan M Bartolome, PT
• Bailey Barton, BCBA
• Cynthia Bass
• Erik Bassett, DPT
• Hsu Fun Bauer
• Adam Franklin Baumgardner, D.C.
• Barbara Baumgardner, PHD, PMHNP-BC
• Jennifer Baumgardner, PHD
• Batrony Bazilme, MD, PA, SA-C
• Stephen Fils Bazilme, PA, SA-C

• Registered Nurse in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.