Active NPI
Stacey Hooper, NP
- Adult Health Nurse Practitioner
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 311015
- Practice address
- 33-57 Harrison St
Johnson City, NY 13790-2107 - Phone
- (607) 763-6622
- NPI assigned
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 311015 | NY | Primary |
Addresses
Primary practice location
33-57 Harrison St
Johnson City, NY 13790-2107
Mailing address
33 Lewis Rd
FL 2
Binghamton, NY 13905
Phone (607) 770-0025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311015 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Current | Accepting new patients | |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| United Medical Associates PC | Current | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
713 Troy Schenectady Rd
Ste 224
Latham, NY 12110
Phone (518) 785-3614
4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144
Interoperability endpoints
- shooper1@hiemail.healtheconnections.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1487376323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"address_2": "FL 2",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-770-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33-57 HARRISON ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902107",
"telephone_number": "607-763-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "STACEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "311015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.