Stacey Lynn Poston, RN, MSN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN 470207 Issued in CA

Practice address

65 N Madison Ave
Suite 610
Pasadena, CA 91101-2035

Phone

(626) 432-1681

Fax

(626) 432-6869

NPI assigned

May 16, 2007

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

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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.

• Pacific Reproductive Services, Inc.

  • Family Nurse Practitioner
  • Pasadena, CA
  • NPI 1053680306
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1942417548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR",
            "address_2": "SUITE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064152",
            "telephone_number": "818-230-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "SUITE 610",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012035",
            "telephone_number": "626-432-1681",
            "fax_number": "626-432-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTON",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "RN, MSN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN 470207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Janae Porter
• Marlene Portillo
• Samantha Portillo
• Tanya Portillo
• Robert Posen, D.O.
• Katina Michelle Potter
• Sarah Georgianna Potter, MS, RD
• Reginald Avery Potts Sr.
• Pour Out
• Libby Tami Pour

• Family Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.