Lynn Ann Stacy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044137 Issued in NY

Practice address

7504 E State St
Lowville, NY 13367-1804

Phone

(315) 376-8614

Fax

(315) 376-8628

NPI assigned

May 24, 2005

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306849112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 E STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671804",
            "telephone_number": "315-376-8614",
            "fax_number": "315-376-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 E STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671804",
            "telephone_number": "315-376-8614",
            "fax_number": "315-376-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Schulz, RN
• April Seymour Ritz
• Kaydie Shepherd, LPN
• Jennifer Spellicy, LMSW
• Kristen Margaret Spooner, LPN
• Laura Steria, MS OTR/L
• Scott D Stern, MD
• Elwin L Stillman, M.D.
• Laurie Sue Stoffel
• Nicole L Stone, LMT

• General Practice Dentistry in Lowville, NY
• Providers in Lowville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.