Staci Deanne Fick, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5254496 Issued in FL

Practice address

1510 Commercial Park Dr
Lakeland, FL 33801-6569

Phone

(863) 400-9513

NPI assigned

Oct 18, 2023

Sex

Female

Sole proprietor

Yes

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1821870502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PRENTICE WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COMMERCIAL PARK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016569",
            "telephone_number": "863-400-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "STACI",
        "middle_name": "DEANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5254496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Leclercq Ferreiro
• Bobbie Ferrell, ARNP
• Natalia Ferrer Bravo, MD
• Patrick Ferry
• Thomas Sebastian Fey
• Matthew Louis Fierro, M.S.
• Lauren Reynolds Fife
• Jitzel Stephanie Figueroa Heredia, SLPA
• Alexandria Juliet Figueroa, BS
• Janmary Figueroa, M.D.

• Licensed Practical Nurse in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.