Staci Carmack

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

900 Beasley St
Suite 120
Lexington, KY 40509-4266

Phone

(859) 475-4409

NPI assigned

Sep 24, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Staci Lynn Carmack Professional name

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.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699177311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BEASLEY ST",
            "address_2": "SUITE120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094266",
            "telephone_number": "913-322-2400",
            "fax_number": "913-621-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BEASLEY ST",
            "address_2": "SUITE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094266",
            "telephone_number": "859-475-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "STACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "CARMACK",
            "middle_name": "LYNN",
            "credential": "B.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hannah Grace Carlisle
• Michelle Carmen Carlo
• Leah Gretchen Carloni, PA
• Andrew J Carlson, ATC
• Charles R Carlson, PHD
• Courtney Renee Carmain, OD
• Daniel Lee Carman, MD
• Gregory Alan Carman, DMD
• Jonathan W Carman, DPT
• Jake Carmer, LAT, ATC

• Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.