Stacy Duhe Jefferson

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

1009 Polly Ave.
Baytown, TX 77520

Phone

(281) 968-1738

Fax

(832) 769-4723

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1841824828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 POLLY AVE.",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77520",
            "telephone_number": "281-968-1738",
            "fax_number": "832-769-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 POLLY AVE.",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77520",
            "telephone_number": "281-968-1738",
            "fax_number": "832-769-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "STACY",
        "middle_name": "DUHE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zain Javaid, MD
• Michael D Jean
• Emily Moore Jeancharles, PTA
• Leonard G Jeffcoat, LCDC
• Jeffrey Lawrence Jefferson, PT
• Jeffrey Scott Terry (The Medicine Shoppe)
• Autumn Chantel Jennings
• Jeremy Brian Jennings, P.T.
• Jerome O. Carter, MD, PLLC
• Edward Ji, PA-C

• Clinical Laboratory Director (Non-physician) in Baytown, TX
• Providers in Baytown, TX by specialty
• Clinical Laboratory Director (Non-physician) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.