Stacey Dean, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

131620-30 Issued in WI

Practice address

8727 West Squaw Lake Road
Lac Du Flambeau, WI 54538

Phone

(715) 604-2538

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1265757256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 WEST SQUAW LAKE ROAD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "54538",
            "telephone_number": "715-604-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 WEST SQUAW LAKE ROAD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "54538",
            "telephone_number": "715-604-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "STACEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "131620-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene S Crippen, RDH
• Linda M Daniels, LCSW
• Lucas C Daniels, NP
• Michaela Daubon
• Patrick Day, RADC1
• Jane R Evanoff, RDH
• Isabella Fallos, SAC-IT
• Sheli Faust, PC, SAC-IT
• John M Filz, P.A.
• Christine Marie Fonger, RDH

• Registered Nurse in Lac Du Flambeau, WI
• Providers in Lac Du Flambeau, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.