Individual provider Active NPI

Stacey Lamar, DRPH, RN, CNM,

  • Midwife
  • Hyde Park, NY
National Provider Identifier
1407893134
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F000968 Issued in NY
Practice address
4415 Albany Post Rd
Hyde Park, NY 12538-1550
Phone
(845) 546-7134
Fax
(845) 849-3554
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 416419-1 NY
Midwife 176B00000X F000968 NY Primary

Addresses

Primary practice location

4415 Albany Post Rd
Hyde Park, NY 12538-1550

Mailing address

19 Slate Hill Dr
Poughkeepsie, NY 12603-5509
Phone (845) 546-7134

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)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
416419-1NYMDRegistered Nurse
000968NYMDAcupuncturist
F000968NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Hudson Family Health Institute Multi-Specialty Past Accepting new patients
Sadie'S Place Ny, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1407893134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SLATE HILL DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035509",
            "telephone_number": "845-546-7134",
            "fax_number": "845-849-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381550",
            "telephone_number": "845-546-7134",
            "fax_number": "845-849-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "DRPH, RN, CNM,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "416419-1",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F000968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.