Stacey Jean Iwaniec

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

ST00000146 Issued in WA

Practice address

1550 N 115TH St
Seattle, WA 98133-8401

Phone

(206) 368-1008

NPI assigned

Nov 25, 2009

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1831427012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 28TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442413",
            "telephone_number": "206-992-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N 115TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338401",
            "telephone_number": "206-368-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANIEC",
        "first_name": "STACEY",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "WA",
            "license": "ST00000146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Grace Iverson
• Sydney Iverson, PHD
• Alexandra Ivey, PSY.D.
• Ivory Loh, LLC
• Ryan R Iwamoto, ARNP
• Adam Iwanski, M.D.
• Heidi J Iwanski, MD
• Michiko Iwasaki, PH.D.
• Andrea M Iwiula, LAC.
• Chukwuma Timothy Iwuoha

• Surgical Technologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgical Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.