Emily Stacey

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

300372 Issued in TX

Practice address

805 N Whittington Pkwy
Louisville, KY 40222-7101

Phone

(502) 627-7000

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By the provider in NPPES

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

Electronic endpoints 3

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1134718745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13929 FM 548",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266407",
            "telephone_number": "469-552-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-627-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "300372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emily.stacey@pharmerica.com",
            "affiliation": "N",
            "address_1": "805 N Whittington Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402227101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emily.stacey@pharmerica.com",
            "affiliation": "N",
            "address_1": "805 N Whittington Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402227101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emily.stacey@pharmerica.com",
            "affiliation": "N",
            "address_1": "805 N Whittington Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402227101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• St. Matthews Surgery Center, LLC
• Stacy L Cambron PHD
• Anjelica Doris Stacy
• Brooke Duncan Stacy
• Cameron Heath Stacy
• George Peter Stacy Jr., MD

• Licensed Practical Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.