Individual provider Active NPI

Alma Denise Stacy, FNP-C

  • Family Nurse Practitioner
  • Rockport, TX
National Provider Identifier
1730684168
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136752 Issued in TX
Practice address
1004 Ibis Dr
Rockport, TX 78382-6124
Phone
(361) 701-1970
NPI assigned
Mar 27, 2018
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136752 TX Primary

Addresses

Primary practice location

1004 Ibis Dr
Rockport, TX 78382-6124

Mailing address

1004 Ibis Dr
Rockport, TX 78382-6124
Phone (361) 701-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180516000056 TX Practitioner - Nurse Practitioner 1658635891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Here Or There Healthcare PLLCGroup PAC ID 5597186387, 4 clinicians

Practice addresses (Care Compare)

1015 Santa Fe St
Corpus Christi, TX 78404-2334

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136752TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Here Or There Healthcare PLLC Family CurrentSince Apr 1, 2020 Accepting new patients

Locations

1015 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 806-9222

1015 Santa Fe St
Unit B
Corpus Christi, TX 78404
Phone (361) 333-5472

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1730684168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 IBIS DR",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783826124",
            "telephone_number": "361-701-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 IBIS DR",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783826124",
            "telephone_number": "361-701-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "ALMA",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.