Individual provider Active NPI

Stacey L Stelianou

  • Licensed Practical Nurse
  • Fairport, NY
National Provider Identifier
1205790508
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2956564 Issued in NY
Practice address
181 Hamilton Rd
Fairport, NY 14450-9711
Phone
(585) 421-2142
Fax
(585) 421-8721
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2956564 NY Primary

Addresses

Primary practice location

181 Hamilton Rd
Fairport, NY 14450-9711

Mailing address

181 Hamilton Rd
Fairport, NY 14450-9711
Phone (585) 421-2142

Other names 1

  • Stacey Lee Stelianou Professional name

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

LicenseStateTypeSpecialty
2956564NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1205790508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 HAMILTON RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509711",
            "telephone_number": "585-421-2142",
            "fax_number": "585-421-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HAMILTON RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509711",
            "telephone_number": "585-421-2142",
            "fax_number": "585-421-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELIANOU",
        "first_name": "STACEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2956564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "STELIANOU",
            "middle_name": "LEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.