Stacy Susan Fields

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1460 Neighborhood Rd
Gallipolis, OH 45631-8010

Phone

(740) 446-7068

NPI assigned

Jan 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stacy Susan Brown Former name

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1881283018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 MCCORMICK RD LOT 8",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318688",
            "telephone_number": "740-645-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NEIGHBORHOOD RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318010",
            "telephone_number": "740-446-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "STACY",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00094594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "BROWN",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Fellure
• Crystal Ferguson, APRN
• Cindy Kay Ferrell
• Amber Fields, CNP
• Glenn David Fields, ACNPC-AG
• Patricia Kline Fisco, CNP
• Glenn A. Fisher, M.D.
• Tracy R Fitch, QMHS3
• Adrienne Fitzsimmons, PSY.D.
• Kristi Lee Fleming-Frum, MC, CCC-SLP

• Home Health Aide in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.