Stacy Wyatt

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1158846 Issued in TX

Practice address

4801 Woodway Dr Ste 306W
Houston, TX 77056-1828

Phone

(832) 225-3345

Fax

(713) 583-1504

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Winnie Community Hospital LLCGroup PAC ID 3375440894, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riceland Medical Center Hospital, Winnie, TX, CCN 451328

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winnie Community Hospital, L.L.C.

  dba Winnie Community Clinic

  • Emergency Medicine Physician
  • Winnie, TX
  • NPI 1548395213
  Medicare reassignment Care Compare group NPD
• Vibrant Comprehensive Services LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1891166518
  Medicare reassignment NPD
• Dr. S. M. Rawls MD PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1497127039
  NPD
• Winnie Community Hospital LLC

  dba Riceland Pain Clinic

  • Interventional Pain Medicine Physician
  • Nederland, TX
  • NPI 1316623481
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winnie Community Hospital, LLC

  • Critical Access Hospital
  • Winnie, TX
  • NPI 1295781227
  Care Compare affiliation

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1861222143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 306W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561828",
            "telephone_number": "832-225-3345",
            "fax_number": "713-583-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 306W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561828",
            "telephone_number": "832-225-3345",
            "fax_number": "713-583-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1158846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monisha Renee Wyatt, PA-C
• Paige Wyatt, LMFT
• Rhonda Wyatt, LBSW
• Shawntonyra Wyatt, LMFT
• Stacie Wyatt, MOT, OTR
• Stephanie P Wyatt
• Irving Wyble Jr., MSW LPC LMFT
• Denise D Wyche
• Freeman Wyche II
• Kenneth Wyche, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.