Individual provider Active NPI

Staci Stough, FNP

  • Family Nurse Practitioner
  • Farmersville, TX
National Provider Identifier
1114396322
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128937 Issued in TX
Practice address
111 N Johnson St
Farmersville, TX 75442-2103
Phone
(972) 782-6131
Fax
(972) 782-7263
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128937 TX Primary

Addresses

Primary practice location

111 N Johnson St
Farmersville, TX 75442-2103

Mailing address

PO Box 1908
Greenville, TX 75403-1908
Phone (903) 454-3025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128937TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Service Agency, Inc. CurrentSince Oct 16, 2015 Accepting new patients
Community Health Service Agency, Inc. CurrentSince Oct 16, 2015 Accepting new patients
Topcare Medical Group Inc Past Accepting new patients

Locations

91 W Side Sq
Cooper, TX 75432
Phone (903) 395-0586

111 N Johnson St
Farmersville, TX 75442
Phone (903) 454-3025

3005 Joe Ramsey Blvd E
Ste A
Greenville, TX 75401
Phone (903) 454-1886

Interoperability endpoints

  • Direct secure messaging: staci.stough.p4@direct.chsa.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1114396322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031908",
            "telephone_number": "903-454-3025",
            "fax_number": "903-450-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N JOHNSON ST",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754422103",
            "telephone_number": "972-782-6131",
            "fax_number": "972-782-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUGH",
        "first_name": "STACI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmersville, TX

Sources for this page

Verify at the official NPI Registry.