Stacey L. Puntney, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043113187 Issued in IL

Practice address

209 NW 11TH St
Fairfield, IL 62837-1218

Phone

(618) 842-4470

NPI assigned

Jan 14, 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

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1649517459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW 11TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371218",
            "telephone_number": "618-842-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNTNEY",
        "first_name": "STACEY",
        "middle_name": "L.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043113187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan A Potter, CRNA
• Potts Family LLC
• Edwin Ray Potts, RPH
• Stephen Dean Potts, PHARMD
• Deseree Daun Price
• Kathryn Marie Rawls, M.A., LCPC
• Ronnie Ray, PHARMD
• Angel L Rector, APRN,BC
• Susanne Remynse
• Virginia Ruth Reynolds, M.S., CCC-SLP

• Licensed Practical Nurse in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.