Stacy Lee Quinnell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5195867 Issued in FL

Practice address

212 N Wilson St
Crestview, FL 32536-3438

Phone

(850) 306-3003

NPI assigned

Mar 31, 2021

Last updated

Mar 31, 2021By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stacy.quinnell@guardianpharmacy.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guardian Pharmacy of NW Florida

  • Long Term Care Pharmacy
  • Crestview, FL
  • NPI 1861798613
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1689252603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N WILSON ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363438",
            "telephone_number": "850-306-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N WILSON ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363438",
            "telephone_number": "850-306-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINNELL",
        "first_name": "STACY",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5195867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "5195867",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stacy.quinnell@guardianpharmacy.net",
            "affiliation": "N",
            "endpointDescription": "Business correspondence",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 N Wilson St",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325363438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Publix Super Markets Inc
• Publix Super Markets Inc (Publix Pharmacy #0801)
• Joseph William Pugh, M.D.
• Jane Purdy, O.D.
• Quantum Hospital Pathology, LLC
• R&R Medspa and Wellness Center LLC
• Allison Rae Rader
• Teraysa Ragule
• A. Holley Martin Raley, D.C.
• Charles Jonathan Raley, D.C.

• Licensed Practical Nurse in Crestview, FL
• Providers in Crestview, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.