Stacy John Kovacs, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1478 Issued in FL

Practice address

2892 Rockford Falls Dr N
Jacksonville, FL 32224-4878

Phone

(904) 382-1386

Fax

(904) 264-8350

NPI assigned

Nov 7, 2006

Sex

Male

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

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821167750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2892 ROCKFORD FALLS DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244878",
            "telephone_number": "904-382-1386",
            "fax_number": "904-264-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2892 ROCKFORD FALLS DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244878",
            "telephone_number": "904-382-1386",
            "fax_number": "904-264-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "STACY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Forrest Koury, D.O.
• Keyvan Koushan, M.D.
• Barbara Mary Kovacs, DNP-FNP, APRN
• Matthew Alexander Kovacs, PA-C
• Peter Louis Kovacs, MD
• Natalie Marie Kovish, LMHC
• Ami B Kowalski
• David Kowalski
• Michael Kowalski, A.P., DR. AC.
• Courtney B Kozak

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.