Active NPI
Stacy Lynn Caldwell, FNP-BC
- Nurse Practitioner
- Conroe, TX
National Provider Identifier
1386565596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1239694
- Practice address
- 2112 W Davis St
Conroe, TX 77304-2049 - Phone
- (512) 922-4947
- NPI assigned
- Jul 23, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1239694 | TX | Primary |
Addresses
Primary practice location
2112 W Davis St
Conroe, TX 77304-2049
Mailing address
16840 Falcon Sound Dr
Montgomery, TX 77356-8386
Phone (512) 922-4947
Other practice location 1
27150 US-290 #100
Cypress, TX 77433-7224
Phone (512) 922-4947
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1386565596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16840 FALCON SOUND DR",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773568386",
"telephone_number": "512-922-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 W DAVIS ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773042049",
"telephone_number": "512-922-4947"
}
],
"practiceLocations": [
{
"address_1": "27150 US-290 #100",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774337224",
"country_code": "US",
"telephone_number": "512-922-4947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1239694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.