Active NPI
Stacey Hobbick, DNP, MSN-ED, RN,
- Registered Nurse
- Klamath Falls, OR
National Provider Identifier
1336929421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 10030771
- Practice address
- 2865 Daggett Ave
Klamath Falls, OR 97601-1106 - Phone
- (980) 328-4403
- NPI assigned
- Oct 5, 2023
- Last updated
- Jun 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95177865 | CA | |
| Registered Nurse | 163W00000X | 10030771 | OR | Primary |
Addresses
Primary practice location
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Mailing address
936 S Forest Creek Dr
Saint Augustine, FL 32092-0755
Phone (980) 328-4403
Other names 1
- Stacey Hutchison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95177865 | CA | MD | Registered Nurse |
| 10030771 | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1336929421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 S FOREST CREEK DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320920755",
"telephone_number": "980-328-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 DAGGETT AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011106",
"telephone_number": "980-328-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBICK",
"first_name": "STACEY",
"name_prefix": "Dr.",
"credential": "DNP, MSN-ED, RN,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-05",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95177865",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "10030771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "HUTCHISON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.