MS. STACY ANN THALASSITES NP-C NPI 1376650457

NPI Information

  • NPI: 1376650457
  • Provider Name: MS. STACY ANN THALASSITES, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 100 WHETSTONE PL STE 105
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Phone: (904) 824-3777

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NPI Details

MS. Stacy Ann Thalassites, NP-C is a family nurse practitioner in Saint Augustine, FL with 3 years of experience. MS. Stacy Ann Thalassites, NP-C NPI is 1376650457. 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:

100 WHETSTONE PL STE 105
SAINT AUGUSTINE, FL
ZIP 32086-775
Phone: (904) 824-3777
Fax: (904) 824-6050

The NPI 1376650457 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 8/24/2006 and was last updated on 2/17/2025.

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
1363LF0000XNurse PractitionerFamilyAPRN1709122FLORIDAYes

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: 3/30/2025

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