Stacy Lynn Quezada Dubois, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61452970 Issued in WA

Practice address

12406 E Desmet Ave
Spokane Valley, WA 99216-2996

Phone

(509) 688-0147

NPI assigned

Jan 15, 2025

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1649081035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24104 S HORSE HAVEN LN",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990045103",
            "telephone_number": "970-978-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 E DESMET AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162996",
            "telephone_number": "509-688-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA DUBOIS",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61452970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Q'Mate Psychiatry & Wellness
• Quality Hearing Care
• Carijean Queen, MD
• Angela Quesnell
• Nury I. Quevedo, RN
• Noe Quezada
• Danielle Quick, LMP
• Lynn Faye Quiriarte, CDP
• Rachelle Miller Licsw
• Nikolas Steven Rademaker, FNP

• Nurse Practitioner in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.