Active NPI
Stacie M Poon, M.T.
- Specialist
- West Palm Beach, FL
National Provider Identifier
1245400803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA25825
- Practice address
- 4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-7469 - Phone
- (561) 967-8888
- Fax
- (561) 641-8303
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA25825 | FL | Primary |
Addresses
Primary practice location
4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-7469
Mailing address
4623 Forest Hill Blvd
Suite 110
West Palm Beach, FL 33415-7469
Phone (561) 967-8888
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA25825 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1245400803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FOREST HILL BLVD",
"address_2": "SUITE 110",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334157469",
"telephone_number": "561-967-8888",
"fax_number": "561-264-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 FOREST HILL BLVD",
"address_2": "SUITE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334157469",
"telephone_number": "561-967-8888",
"fax_number": "561-641-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "STACIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA25825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.