STACI MICHELLE MCKEAN ACNS NPI 1538412176

NPI Information

NPI: 1538412176
Provider Name: STACI MICHELLE MCKEAN, ACNS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3410 WORTH ST
SUITE 250
DALLAS, TX
ZIP 75246
Phone: (214) 820-6856
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Staci Michelle Mckean, ACNS is an adult health clinical nurse specialist in Dallas, TX with 12 years of experience. Staci Michelle Mckean, ACNS NPI is 1538412176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3410 WORTH ST
SUITE 250
DALLAS, TX
ZIP 75246-003
Phone: (214) 820-6856

The NPI 1538412176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	700711	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	700711	OTHER	TEXAS	RN LICENSE
2	AP122596	OTHER	TEXAS	APRN LICENSE NUMBER
3	13218	OTHER	TEXAS	RX AUTHORIZATION
4	90194305	OTHER	TEXAS	DPS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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