Active NPI
Stacy R Meyers, RN, MSN
- Registered Nurse
- Jacksonville, FL
National Provider Identifier
1669622288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9627153
- Practice address
- 9889 Gate Pkwy N
Jacksonville, FL 32246-9228 - Phone
- (904) 300-2809
- NPI assigned
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9627153 | FL | Primary |
Addresses
Primary practice location
9889 Gate Pkwy N
Jacksonville, FL 32246-9228
Mailing address
215 Holland Dr
St Augustine, FL 32095-8426
Phone (757) 510-8048
Other practice location 1
215 Holland Dr
St Augustine, FL 32095-8426
Phone (757) 510-8048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9627153 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770422400000",
"number": "1669622288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HOLLAND DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958426",
"telephone_number": "757-510-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9889 GATE PKWY N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322469228",
"telephone_number": "904-300-2809"
}
],
"practiceLocations": [
{
"address_1": "215 Holland Dr",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320958426",
"country_code": "US",
"telephone_number": "757-510-8048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYERS",
"first_name": "STACY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "RN, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-19",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9627153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.