Stacey Ann Calhoun

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

2310 W Rustler LN
Cottonwood, AZ 86326-7354

Phone

(651) 253-1285

NPI assigned

Oct 5, 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

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1871373860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 E CANYON TRL APT 5",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265943",
            "telephone_number": "928-202-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W RUSTLER LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863267354",
            "telephone_number": "651-253-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lee Burke
• Susanne Watson Burnett, R. P.T.
• Samuel M Butman, MD
• C. Dexter Hayes, MD, PC
• Gregory Caldwell, DO
• Chuck Thomas Calvano
• Jeanette Elaine Campbell, L.AC,DIP.OM
• Juniper Campbell, LPC
• Shelley Mae Candelaria, FNP-BC
• Cardiac Care, P.C.

• Attendant Care Provider in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Attendant Care Provider in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.