Stacy Jo Bahe

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

517 E Clairemont Ave
Eau Claire, WI 54701-6479

Phone

(715) 855-0408

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Stacy Jo Ystad Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2017.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1154834141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 190TH ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296722",
            "telephone_number": "715-944-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016479",
            "telephone_number": "715-855-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHE",
        "first_name": "STACY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "YSTAD",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abby Mae Bachmeier, DC
• Abby C Bader, RN
• Ik Hak Bae, M.D.
• Daniel Baehr, DPT
• James Robert Baer, MD
• Megan Baierl, APNP
• Brooke Violet Bailey, PHARMD
• Kaitlyn Jennifer Bailey, PHARMD
• Ryan Earl Bailey, MD
• Sara Bailey

• All providers in Eau Claire, WI
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.