Individual provider Active NPI

Stacey Monique Barnett, NURSE PRACTITIONER

  • Nurse Practitioner
  • Florence, AL
National Provider Identifier
1194238790
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-081939 Issued in AL
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(256) 768-8350
Fax
(256) 768-9187
NPI assigned
Nov 6, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-081939 AL Primary

Addresses

Primary practice location

205 Marengo St
Florence, AL 35630-6033

Mailing address

PO Box 10005
Florence, AL 35631-2005
Phone (256) 263-9777

Other practice location 1

337 Kingston Dr
Florence, AL 35633-1728
Phone (256) 263-9777

Other practice location 2

337 Kingston Dr
Florence, AL 35633-1728
Phone (256) 263-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508002561 AL Practitioner - Nurse Practitioner 2062776503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

541 W College St
Suite 3300
Florence, AL 35630-5320
Phone (256) 766-6026

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC Nurse Practitioner CurrentSince Jan 15, 2018 Accepting new patients
Northwest Alabama Emergency Medicine LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194238790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "256-263-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "256-768-8350",
            "fax_number": "256-768-9187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Kingston Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356331728",
            "country_code": "US",
            "telephone_number": "256-263-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 Kingston Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356331728",
            "country_code": "US",
            "telephone_number": "256-263-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "STACEY",
        "middle_name": "MONIQUE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-081939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.