STACY LEE CABBAGE FNP-C NPI 1184050734

NPI Information

NPI: 1184050734
Provider Name: STACY LEE CABBAGE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: POUDRE VALLEY MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
2121 E HARMONY RD
STE 100
FORT COLLINS, CO
ZIP 80528
Phone: (970) 221-1000
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Stacy Lee Cabbage, FNP-C is a family nurse practitioner in Fort Collins, CO with 11 years of experience. Stacy Lee Cabbage, FNP-C NPI is 1184050734. 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:

2121 E HARMONY RD
STE 100
FORT COLLINS, CO
ZIP 80528-400
Phone: (970) 221-1000
Fax: (970) 297-6844

The NPI 1184050734 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 9/15/2013 and was last updated on 3/22/2016.

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	363LF0000X	Nurse Practitioner	Family	APN.0990793-NP	COLORADO	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	31329047	MEDICAID	COLORADO
2	343040YLB8	MEDICARE PIN	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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