Tracy Nicole Stapleton, MSN WHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2000162410 Issued in MO

Practice address

302 S Joplin
Joplin, MO 64802

Phone

(417) 781-4788

NPI assigned

Sep 7, 2006

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

• Mrs. Tracy Nicole Stidham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164525770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 S PARSLEY LANE",
            "address_2": "APT B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-782-6270",
            "fax_number": "417-781-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S JOPLIN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64802",
            "telephone_number": "417-781-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "TRACY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MSN WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2000162410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "STIDHAM",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "MSN WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea S Stansberry, RDH
• Ethan L Stansell
• Madeline Emma Thomas Stansell, PA
• Jared A Stanton, D.P.M.
• Jordan E Stanton, DO
• Julie Ann Stapp, NP
• Sonja Stark, OTR
• Aaron M Starks, CRNA
• Sarah Marie Starks, LMT
• Jaymi Starnes

• Nurse Practitioner in Joplin, MO
• Providers in Joplin, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.