Stacie Bartholomew, RN BSN CWON

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

20054566898 Issued in WI

Practice address

1333 Blair St
Easton, PA 18045-5917

Phone

(484) 619-5563

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1215787106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BLAIR ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455917",
            "telephone_number": "484-619-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BLAIR ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455917",
            "telephone_number": "484-619-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "STACIE",
        "name_prefix": "Mrs.",
        "credential": "RN BSN CWON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "WI",
            "license": "2005458166",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WI",
            "license": "20054566898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Valeriano Barreto, MD
• John Christian Barrett, MD
• Edward Francis Bartek, D.C.
• Mary H. Bartek, D.C.
• Rachel Bartholomew, MSOT, OTR/L
• Mark Steven Bartolacci, PA-C
• Robert Bartolacci, PTA
• Evelin Carolina Basilio Paula, MD
• Christopher Scott Baskwell, DPT
• Susan A. Basow, PH.D.

• Wound Care Registered Nurse in Easton, PA
• Providers in Easton, PA by specialty
• Wound Care Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.