Stacia K St. John, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN57014 Issued in ME

Practice address

1 Togus Ctr
Augusta, ME 04333-0001

Phone

(207) 623-8411

NPI assigned

Jul 20, 2012

Last updated

Oct 27, 2014By the provider in NPPES

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 names 1

• Miss Stacia K Johnston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1962757476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HINKLEY ST",
            "city": "LISBON FALLS",
            "state": "ME",
            "postal_code": "042521129",
            "telephone_number": "207-713-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TOGUS CTR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043330001",
            "telephone_number": "207-623-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "STACIA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN57014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIA",
            "last_name": "JOHNSTON",
            "middle_name": "K",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hilary Sproul, AGACNP
• James L Sprouse, PA-C
• Sally L Sprowl Eagar, RN-C
• Kayla Scott Jones Sprowl, DPT
• Rachel St Germain, RDH
• Edith June St. Pierre, CRNA
• Wendy A St. Pierre, PH.D., LCSW
• Gabrielle St.Hilaire, PTA
• Rachel Stadler, PA-C
• Jerry T Staley, MD

• Registered Nurse in Augusta, ME
• Providers in Augusta, ME by specialty
• Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.