Stacey Keeney, RN
Individual provider Active NPI Registered Nurse · Ellington, MO
NPI 1770664906 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770664906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 137877 (MO)
- Practice address
- 205 Walnut St.
Ellington, MO 63638 - Phone
- (573) 663-2525
- Fax
- (573) 663-7821
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137877 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Springs Medical Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 137877 | MO | Yes |
Addresses
Primary practice location
205 Walnut St.
Ellington, MO 63638
Mailing address
PO Box 763
Van Buren, MO 63965-0763
Phone (573) 323-4548
Other names
- Stacey Zimmer
Other providers in Ellington, MO
- Scott Lee Fulkerson
- John R Galloway
- Bhaskar Gupta
- Healthpro Physical Therapy LLC
- Sarah Hill
- Victoria L Lacey
- Thelma Nicole Lee
- Gwyndolen Ann Loyd
- Amy Lee Manning
- Kristi Lyn Martin
All providers in Ellington, MO · Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.