Stacey A Palmer, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

3009046 Issued in KY

Practice address

8119 Connector Dr Ste B
Florence, KY 41042-1469

Phone

(859) 283-2475

Fax

(859) 283-0097

NPI assigned

Jan 9, 2014

Last updated

May 1, 2017By 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 3

Addresses

Other identifiers 1

Other names 1

• Stacey A Toney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1760804835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8119 CONNECTOR DR STE B",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421469",
            "telephone_number": "859-283-2475",
            "fax_number": "859-283-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 CONNECTOR DR STE B",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421469",
            "telephone_number": "859-283-2475",
            "fax_number": "859-283-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "STACEY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704265423",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3009046",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3009046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000905375",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "TONEY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Owen, RN
• Lauren Elizabeth Pack, FNP-C
• Andrew Benjamin Paez, DMD
• Cherie Tewes Page, PT
• Danielle Palmer, MS
• Melissa S Pangallo, CNP
• Virginia Parker, DO
• Lloyd Parmley, D.M.D.
• Megan Parry, PHARMD
• Ambrya Parton

• Gerontology Nurse Practitioner in Florence, KY
• Providers in Florence, KY by specialty
• Gerontology Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.