Stacie L Collette, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

579751 Issued in NY

Practice address

366 County Route 17
Brushton, NY 12916-4403

Phone

(518) 529-7243

NPI assigned

Nov 12, 2010

Last updated

Nov 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1487955019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 COUNTY ROUTE 17",
            "city": "BRUSHTON",
            "state": "NY",
            "postal_code": "129164403",
            "telephone_number": "518-529-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 COUNTY ROUTE 17",
            "city": "BRUSHTON",
            "state": "NY",
            "postal_code": "129164403",
            "telephone_number": "518-529-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "STACIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "579751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rae Aubrey
• Nancy Boyer, TEACHER OF THE SPEEC
• Broken Walls Crushed Sidewalks Counseling LCSW PC
• Brushton-Moira Central School
• Joanne Cassavaw
• Stephanie Maneely, RN
• Pamela M Martin, RN
• Penny McQuinn, LCSW
• Sonya Lemarie Moyer, LPN
• Toni Louise Newman, LPN

• Community Health Registered Nurse in Brushton, NY
• Providers in Brushton, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.