Stacey Marie Brundrett, CNS

Primary specialty

Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X

License

APRN9630300 Issued in FL

Practice address

2803 Medical Campus Dr
Seymour Johnson AFB, NC 27531

Phone

(919) 722-8714

NPI assigned

Sep 1, 2020

Last updated

Feb 17, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1174137756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DR",
            "city": "SEYMOUR JOHNSON AFB",
            "state": "NC",
            "postal_code": "27531",
            "telephone_number": "919-722-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DR",
            "city": "SEYMOUR JOHNSON AFB",
            "state": "NC",
            "postal_code": "27531",
            "telephone_number": "919-722-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDRETT",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "FL",
            "license": "APRN9630300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Ashworth, MS, ATC, PMP
• Anthony Shawn Bankes, M.D.
• Cameron Thomas Beckham, PA-C
• Chelsea Berghorn, MS, LAT, ATC, CSCS
• Tiffany Moore Brassard, RD
• Angela Marie Carter, IDMT
• Rachel Elizabeth Copeland, PHARMD
• Sheila Jo Davis, RN
• Kelby Joseph Sage Durnin, IDMT
• Alan Mitchell Flower, D.O.

• Medical-Surgical Clinical Nurse Specialist in Seymour Johnson AFB, NC
• Providers in Seymour Johnson AFB, NC by specialty
• Medical-Surgical Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.