Stacy Beck
Individual provider Active NPI Registered Nurse · Paducah, KY
NPI 1851001002 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1851001002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041.381142 (IL)
- Practice address
- 2620 Perkins Creek Dr
Paducah, KY 42001-7494 - Phone
- (270) 444-8465
- NPI assigned
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.381142 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.381142 | IL | Yes |
Addresses
Primary practice location
2620 Perkins Creek Dr
Paducah, KY 42001-7494
Mailing address
2620 Perkins Creek Dr
Paducah, KY 42001-7494
Phone (270) 444-8465
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | Other |
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.