Stacey S Lemire, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10004052 Issued in WA

Practice address

7101 W Hood PL Ste A101
Kennewick, WA 99336-6720

Phone

(509) 581-3100

Fax

(509) 436-1948

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• True Dermatology, PLLC

  • Medical Physician Assistant
  • Kennewick, WA
  • NPI 1841034055
  NPD Authorized official
• True Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1760041297
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1740323997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W HOOD PL STE A101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366720",
            "telephone_number": "509-581-3100",
            "fax_number": "509-436-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W HOOD PL STE A101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366720",
            "telephone_number": "509-581-3100",
            "fax_number": "509-436-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIRE",
        "first_name": "STACEY",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004052",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Adult Family Homes
• Juanita Garcia Lehr, PHARMD
• Sterling Rey Leija
• Kristy Lynn Leitze, MA CCC-SLP
• Lionel Lemieux, RPH
• Kimberly Delgado Lemus
• Sherrie Lee Lennox, LMHCA
• Aidan Leonard
• James E Leonard, DDS
• Robert Matthew Leonard

• Medical Physician Assistant in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.