Active NPI
Stacy Rene Loy
- Skilled Nursing Facility
- Highland, MI
National Provider Identifier
1144655200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5502000457
- Practice address
- 517 Nairn Cir
Highland, MI 48357-4762 - Phone
- (810) 610-0803
- NPI assigned
- Sep 9, 2013
- Last updated
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5502000457 | MI | Primary |
Addresses
Primary practice location
517 Nairn Cir
Highland, MI 48357-4762
Mailing address
517 Nairn Cir
Highland, MI 48357-4762
Phone (810) 610-0803
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5502000457 | MI | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1144655200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 NAIRN CIR",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574762",
"telephone_number": "810-610-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 NAIRN CIR",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574762",
"telephone_number": "810-610-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOY",
"first_name": "STACY",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "5502000457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.