Stacie Fabry

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

424 County Road 20
Dillonvale, OH 43917-7948

Phone

(740) 381-5521

NPI assigned

Jun 5, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2014.

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1659784841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 COUNTY ROAD 20",
            "city": "DILLONVALE",
            "state": "OH",
            "postal_code": "439177948",
            "telephone_number": "740-381-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 COUNTY ROAD 20",
            "city": "DILLONVALE",
            "state": "OH",
            "postal_code": "439177948",
            "telephone_number": "740-381-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRY",
        "first_name": "STACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M Carothers
• Colerain Volunteer Fire Company
• Lynette Dagrava
• Joseph M. Depalma, D.D.S.
• Dillonvale Emergency Medical Service
• Joseph Zelek
• Bonnie L Kempton, LPN
• Rose Lucas
• Kimberly A McCarthy, QMHS
• Jodi Sue McMasters, CSFA

• All providers in Dillonvale, OH
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.