Stacey F Mainer, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30007446 Issued in WA

Practice address

546 N Jefferson LN
Suite 200
Spokane, WA 99201

Phone

(509) 688-6700

Fax

(509) 455-6913

NPI assigned

Aug 29, 2006

Last updated

May 30, 2018By 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

Other names 1

• Stacey A Mainer Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionate Addiction Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Spokane, WA
  • NPI 1790341659
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1710096532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3867",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203867",
            "telephone_number": "509-688-6700",
            "fax_number": "509-688-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N JEFFERSON LN",
            "address_2": "SUITE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99201",
            "telephone_number": "509-688-6700",
            "fax_number": "509-455-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINER",
        "first_name": "STACEY",
        "middle_name": "F",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9649781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MAINER",
            "middle_name": "A",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Lynn Main, CCC-SLP
• Anthony David Maine Rouwhorst, LMT
• Jill Suzanne Maine, PSYD
• Orson A Maine
• Michael Jacks Mainer, M.D.
• Nancy Michelle Mair
• Katelyn Diane Maisch
• Robert P Maixner, M.D.
• Melisa Majnarich, LICSW LW 60185668
• Brent Majors

• Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.