Katelyn Elizabeth Stacy, R.N., B.S.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN173391 Issued in AZ

Practice address

550 N Harrison Rd
Apt. 6207
Tucson, AZ 85748-2767

Phone

(419) 295-9771

NPI assigned

Jan 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1811234875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N HARRISON RD",
            "address_2": "APT. 6207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482767",
            "telephone_number": "419-295-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HARRISON RD",
            "address_2": "APT. 6207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482767",
            "telephone_number": "419-295-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN173391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne St. Ores
• Jane St. Perre, LCSW
• Madeleine Kay St. Peter, MD
• Margaret S St.John, PHD
• Thelma B St.Victor, FNP-BC
• Chad R Stadheim, D.O.
• Caroline Stafford, OTR/L
• Richard H Stag, DDS
• Kaiopa Stage, PT, DPT
• Francis J Stagg, MD

• Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.