Stacy Ann Stewart

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

8762349 Issued in NY

Practice address

524 Cleveland St
353 Beach 48 at Farrow Away Ny 11691
Brooklyn, NY 11208-2120

Phone

(917) 599-9029

NPI assigned

Apr 15, 2015

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1326435462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082120",
            "telephone_number": "917-599-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND ST",
            "address_2": "353 BEACH 48 AT FARROW AWAY NY 11691",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082120",
            "telephone_number": "917-599-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "8762349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "8762349",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raezeem Stewart
• Rasheeda Stewart
• Shanelle Veronica Stewart
• Sharon Stewart
• Shersharna Marie Stewart, LPN
• Tahisha Stewart
• Tamika Stewart
• Teleisha Stewart
• Teresa Stewart
• Tessi Rohira Stewart

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.