Individual provider Active NPI

Stacy Lynn Desnoyers

  • Student in an Organized Health Care Education/Training Program
  • Framingham, MA
National Provider Identifier
1720653637
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone
(508) 879-9800
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

1 Frederick Abbott Way
Framingham, MA 01701-7992

Mailing address

1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone (508) 879-9800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stacy_desnoyers@waysideyouth.org Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayside Youth and Family Support Network CurrentSince Jan 30, 2025 Accepting new patients

Locations

1 Frederick Abbott Way
Framingham, MA 01701
Phone (508) 270-1233

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1720653637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREDERICK ABBOTT WAY",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017992",
            "telephone_number": "508-879-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREDERICK ABBOTT WAY",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017992",
            "telephone_number": "508-879-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESNOYERS",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stacy_desnoyers@waysideyouth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Frederick Abbott Way",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017017992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.