Stacey Edith Martin, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95055810 Issued in CA

Practice address

1111 E Stanley Blvd Ste 112
Livermore, CA 94550-4115

Phone

(925) 243-1385

Fax

(925) 243-0127

NPI assigned

Mar 23, 2015

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

• Stacey Edith Plasch 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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1134513690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 JEANNIE WAY",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507224",
            "telephone_number": "510-299-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E STANLEY BLVD STE 112",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504115",
            "telephone_number": "925-243-1385",
            "fax_number": "925-243-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STACEY",
        "middle_name": "EDITH",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95055810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PLASCH",
            "middle_name": "EDITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Nakhla DDS Inc.
• Chibuzor Mark-Ekpendu, PHARMD
• Nancy B Marshall, MFT
• Tiffany Marshall
• Michelle Martin
• Dana Martinez
• Jessica A Marty
• Tendai Amanda Mashamba
• Melanie Louise Mason, O.D.
• Charles Duncan Massey, PSY.D.

• Registered Nurse in Livermore, CA
• Providers in Livermore, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.