Individual provider Active NPI

Stacey Lynn McCracken, RCP

  • Registered Respiratory Therapist
  • Baltimore, MD
National Provider Identifier
1427665272
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
LO1324 Issued in MD
Practice address
2301 Cedley St
Baltimore, MD 21230-3117
Phone
(667) 967-0980
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X LO1324 MD Primary

Addresses

Primary practice location

2301 Cedley St
Baltimore, MD 21230-3117

Mailing address

2301 Cedley St
Baltimore, MD 21230-3117
Phone (667) 967-0980

Other identifiers 1

IdentifierTypeStateIssuer
LO1324OtherMDBPQA

Other names 1

  • Stacey Lynn McCracken Professional name

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

State licenses

LicenseStateTypeSpecialty
LO1324MDMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1427665272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CEDLEY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303117",
            "telephone_number": "667-967-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CEDLEY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303117",
            "telephone_number": "667-967-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MD",
            "license": "LO1324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BPQA",
            "identifier": "LO1324",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MCCRACKEN",
            "middle_name": "LYNN",
            "credential": "RCP RESPIRATORY THER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.