Organization Active NPI

Stacy Engaged

  • Case Manager/Care Coordinator
  • Austin, TX
National Provider Identifier
1669154795
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
STACY ENGAGED
Practice address
12233 Forsythe Dr
Austin, TX 78759-3158
Phone
(512) 773-1482
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Vanessa Beers
Title
Ceo
Phone
(512) 773-1482

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

12233 Forsythe Dr
Austin, TX 78759-3158

Mailing address

12233 Forsythe Dr
Austin, TX 78759-3158
Phone (512) 773-1482

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1669154795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12233 FORSYTHE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593158",
            "telephone_number": "512-773-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12233 FORSYTHE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593158",
            "telephone_number": "512-773-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY ENGAGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-773-1482"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.