Stacy Wojcik

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

277559-3102 Issued in UT

Practice address

356 S Main St
Blanding, UT 84511-3830

Phone

(435) 678-2992

Fax

(435) 678-3116

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• San Juan Mental Health-Substance Abuse Special Service District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blanding, UT
  • NPI 1356353692
  NPD (past)
• San Juan Mental Health-Substance Abuse SSD

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Blanding, UT
  • NPI 1790898526
  NPD (past)

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1548501281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 S MAIN ST",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113830",
            "telephone_number": "435-678-2992",
            "fax_number": "435-678-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S MAIN ST",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113830",
            "telephone_number": "435-678-2992",
            "fax_number": "435-678-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJCIK",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "277559-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Whitehorse
• Claralissa Williams
• Sharon Ann Williams
• Valena L Williams
• Rick Wirsch
• India Sabrina Workman, CSW

• Registered Nurse in Blanding, UT
• Providers in Blanding, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.