Stacey A Burt, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

402391-1 Issued in NY

Practice address

1376 River Rd
Binghamton, NY 13901-5702

Phone

(607) 821-8739

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Stacey A Riddleberger Former name

Electronic endpoints 1

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1114202504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 RIVER RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139015702",
            "telephone_number": "607-821-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 RIVER RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139015702",
            "telephone_number": "607-821-8739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Glenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139051606",
            "country_code": "US",
            "telephone_number": "607-763-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURT",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "402391-1",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "402391-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115202504",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nersey@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1376 River Rd",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139015702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "RIDDLEBERGER",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Walsh Burns, SLP
• Arthur Abalos Burog, RN BSN
• Amy Marie Burpee, CDN
• Jessica Burrell
• Michael Burt
• Barbara Burton, RN
• Katharine Burtt, RN
• Rachael N Bush
• Terrie Butler, RN
• Thomas W Butler, LCSW

• Home Health Registered Nurse in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.