STACIE MCCOMAS NP-C NPI 1366982621

NPI Information

NPI: 1366982621
Provider Name: STACIE MCCOMAS, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA

PECOS Registration: Yes

Address:
476 CHENEY DR W
SUITE 160
TWIN FALLS, ID
ZIP 83301
Phone: (208) 944-0497
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Stacie Mccomas, NP-C is a family nurse practitioner in Twin Falls, ID with 8 years of experience. Stacie Mccomas, NP-C NPI is 1366982621. 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:

476 CHENEY DR W
SUITE 160
TWIN FALLS, ID
ZIP 83301-741
Phone: (208) 944-0497

The NPI 1366982621 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 3/6/2017 and was last updated on 3/6/2017.

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	55317	IDAHO	Yes

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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