Stacey Kizziar, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

505398 Issued in CA

Practice address

5667 Middle Libby Rd
Paradise, CA 95969-5324

Phone

(530) 872-8717

NPI assigned

Oct 23, 2008

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1295988111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 MIDDLE LIBBY RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695324",
            "telephone_number": "530-872-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 MIDDLE LIBBY RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695324",
            "telephone_number": "530-872-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZZIAR",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "505398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Ann Kehrer, PHARMD
• Lonnie Scott Keith, P.A.
• Margaret Juanita Kelly, MS, RD
• Karen Kennedy, PTA
• Merrilee R. Kettell, FNP
• Tiffany Ann Klapperich
• Ray Dewey Klepper, P,T,
• Jessica Lynn Kodai
• Rachael Rey Kordzikowski
• Eugene M Koury, O.D.

• Registered Nurse in Paradise, CA
• Providers in Paradise, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.