Individual provider Active NPI

Stacy Daniel, MS, WHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Plainview, NY
National Provider Identifier
1730435322
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346482 Issued in NY
Practice address
28 Elmwood CT
Plainview, NY 11803-3226
Phone
(516) 851-0317
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421086 NY
Family Nurse Practitioner 363LF0000X 346482 NY Primary

Addresses

Primary practice location

28 Elmwood CT
Plainview, NY 11803-3226

Mailing address

28 Elmwood CT
Plainview, NY 11803-3226
Phone (516) 851-0317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160812001815 NY Practitioner - Nurse Practitioner 5193019123 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346482NYMDFamily Nurse Practitioner
421086NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group, PLLC CurrentSince Apr 7, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 22, 2016 Accepting new patients

Locations

373 W Main St
Babylon, NY 11702
Phone (516) 822-6655

820 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-5566

25710 Union Tpke
Ste 2
Glen Oaks, NY 11004
Phone (516) 209-4843

865 Northern Blvd
Great Neck, NY 11021
Phone (516) 622-5000

120 Bethpage Rd
Ste 310
Hicksville, NY 11801
Phone (516) 822-6655

33 Walt Whitman Rd
Ste 235
Huntington Station, NY 11746
Phone (631) 470-4720

3051 Long Beach Rd
Ste 2
Oceanside, NY 11572
Phone (516) 822-6655

300 Community Dr
Plandome, NY 11030

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1730435322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ELMWOOD CT",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033226",
            "telephone_number": "516-851-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ELMWOOD CT",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033226",
            "telephone_number": "516-851-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "MS, WHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.