Individual provider Active NPI

Stacey Lee Searcy, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1811191463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1056053 Issued in AL
Practice address
400 Taylor Rd
Montgomery, AL 36117-3512
Phone
(334) 277-8330
Fax
(818) 587-2493
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1056053 AL Primary

Addresses

Primary practice location

400 Taylor Rd
Montgomery, AL 36117-3512

Mailing address

4160 Carmichael Rd
Suite 104
Montgomery, AL 36106-3638
Phone (334) 272-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070823000859 AL Practitioner - Nurse Practitioner 2365534484 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1056053ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Health Services Inc Current Accepting new patients
Emergency Services of Montgomery PC Nurse Practitioner CurrentSince Nov 1, 2012 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince May 19, 2015 Accepting new patients
American Family Care, LLC CurrentSince May 19, 2015 Accepting new patients
Health Services Inc CurrentSince Jun 1, 2019 Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2140 Upper Wetumpka Rd
Montgomery, AL 36107
Phone (334) 262-0363

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

Organizations & group practices 7

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811191463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 CARMICHAEL RD",
            "address_2": "SUITE 104",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063638",
            "telephone_number": "334-272-1050",
            "fax_number": "334-271-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173512",
            "telephone_number": "334-277-8330",
            "fax_number": "818-587-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARCY",
        "first_name": "STACEY",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1056053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.