Individual provider Active NPI

Stacy Doud

  • Family Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1215891890
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
332611 Issued in AZ
Practice address
14300 W Granite Valley Dr
Sun City West, AZ 85375-5783
Phone
(623) 203-9147
NPI assigned
Dec 9, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 332611 AZ Primary

Addresses

Primary practice location

14300 W Granite Valley Dr
Sun City West, AZ 85375-5783

Mailing address

15631 W Ventura St
Surprise, AZ 85379-5630

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
332611AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1215891890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15631 W VENTURA ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755783",
            "telephone_number": "623-203-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "332611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.