Stacey Ann Agee, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

087006402N3 Issued in OR

Practice address

2120 Exchange St
Suite 200
Astoria, OR 97103-3365

Phone

(503) 325-5360

Fax

(503) 325-9373

NPI assigned

Nov 16, 2005

Last updated

Apr 19, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nehalem Bay Health Center and Pharmacy

  • Student Health Clinic/Center
  • Rockaway Beach, OR
  • NPI 1811569387
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1275515181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "971470176",
            "telephone_number": "800-368-5182",
            "fax_number": "844-717-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST",
            "address_2": "SUITE 200",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033365",
            "telephone_number": "503-325-5360",
            "fax_number": "503-325-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEE",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "087006402N3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239443",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristin Marie Accuardi, DNP-FNP
• Alexandra Lee Adams, LMT
• Melissa Katherine Adams
• Lynn Addis
• Advanced Sleep Health, LLC
• Alexis Aiello, MS CCC-SLP
• Deborah Allen
• Alternative Sleep Health, Inc
• Amanda Salmick Holistic Therapy
• Bryan Thurn Anderson

• Nurse Practitioner in Astoria, OR
• Providers in Astoria, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.