Stacey L. Poehner, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4197 Issued in KY

Practice address

1707 Cedar Grove Rd
Suite 20
Shepherdsville, KY 40165-8572

Phone

(502) 215-2090

Fax

(502) 215-5095

NPI assigned

Mar 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Kentuckiana Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1801833140
  NPD (past)
• Pediatrics of Bullitt County PLLC

  • Rural Health Clinic/Center
  • Shepherdsville, KY
  • NPI 1164293908
  NPD (past)
• Pediatrics of Bullitt County PLLC

  • Pediatrics Physician
  • Shepherdsville, KY
  • NPI 1730326109

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1891811758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950293",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950293",
            "telephone_number": "888-987-1875",
            "fax_number": "405-609-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CEDAR GROVE RD",
            "address_2": "SUITE 20",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658572",
            "telephone_number": "502-215-2090",
            "fax_number": "502-215-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEHNER",
        "first_name": "STACEY",
        "middle_name": "L.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710089470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Pike, LMT
• Nancy E Pike, ARNP
• William Charles Pike, PT
• Lori Plum
• Domini Alexis Plymale, APRN
• Catherine Porter Proctor, LCSW
• Heather A Potter, ARNP
• Lisa Ann Potts, M.A.
• Allison Dawn Powell, APRN
• Raven Leigh Powell, PT, DPT

• Nurse Practitioner in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.