Stacey Michelle Harvey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2000156514 Issued in MO

Practice address

7584 Olive Blvd
Suite 210
Saint Louis, MO 63130-1600

Phone

(314) 203-9349

Fax

(314) 480-7069

NPI assigned

Jan 25, 2012

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

• Stacey Michelle Ware Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1083985840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7584 OLIVE BLVD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301600",
            "telephone_number": "314-203-9349",
            "fax_number": "314-480-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7584 OLIVE BLVD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301600",
            "telephone_number": "314-203-9349",
            "fax_number": "314-480-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2000156514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "WARE",
            "middle_name": "MICHELLE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison L Harvey, D.C.
• Anita Harvey
• Carlissa Harvey
• Felicia L. Harvey, MD
• Jessica Harvey, MA MS
• Steven A. Harvey, M.D.
• Taylor Harvey
• Tonisha Harvey
• Amber Dawn Harwell, M.A.
• Daniel Paul Harwood, MD

• Licensed Practical Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.