Individual provider Active NPI

Stacy Turgeon, RBT-17-46723

  • Clinical Social Worker
  • Ft Carson, CO
National Provider Identifier
1134619216
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
Evans Army Community Hospital, 1650 Cochrane Cir B7500
Ft Carson, CO 80913
Phone
(586) 216-2089
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 17-46723 MI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

Evans Army Community Hospital, 1650 Cochrane Cir B7500
Ft Carson, CO 80913

Mailing address

Evans Army Community Hospital, 1650 Cochrane Cir B7500
Ft Carson, CO 80913

Other practice location 1

35674 Orchard Ln
Richmond, MI 48062-5735
Phone (586) 216-2089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17-46723MIMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1134619216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "586-216-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35674 Orchard Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "MI",
            "postal_code": "480625735",
            "country_code": "US",
            "telephone_number": "586-216-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURGEON",
        "first_name": "STACY",
        "credential": "RBT-17-46723",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "17-46723",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.