Stacey Anne Toben, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN088573 Issued in AZ

Practice address

15420 N 32ND Dr
Phoenix, AZ 85053-3927

Phone

(602) 866-1974

Fax

(602) 375-3949

NPI assigned

Dec 6, 2006

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Phoenix Children'S Hospital

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD
• Northwest Cloinic for Children

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1083815666
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1710046719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 N 32ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533927",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 N 32ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533927",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBEN",
        "first_name": "STACEY",
        "middle_name": "ANNE",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RN088573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635609",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TMZ Management LLC
• TNG Healthcare, LLC
• Philip To, M.D,
• Rishae E To, CRNA
• Maureen M Toal, DMD
• Donald A Tobias, M.D.
• Jerome D Tobias, DO
• Kerry Tobias, D.O.
• Luz Depante Tobias, DDS
• Cynthia Kay Tobin, PMHNP, ANP

• Pediatric Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.