STACY RAE ANDREACCHIO FPMHNP NPI 1700865235

NPI Information

NPI: 1700865235
Provider Name: STACY RAE ANDREACCHIO, FPMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5004 HIGHWAY 39 N
MERIDIAN, MS
ZIP 39301
Phone: (601) 693-8307
Get Directions

Stacy Rae Andreacchio, FPMHNP is a psychiatric/mental health nurse practitioner in Meridian, MS with 21 years of experience. Stacy Rae Andreacchio, FPMHNP NPI is 1700865235. 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:

5004 HIGHWAY 39 N
MERIDIAN, MS
ZIP 39301-021
Phone: (601) 693-8307
Fax: (601) 693-6794

The NPI 1700865235 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 1/12/2006 and was last updated on 5/19/2008.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R828589	MISSISSIPPI	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
1	500001596	MEDICARE PIN	MISSISSIPPI
2	Q23656	MEDICARE UPIN
3	08903768	MEDICAID	MISSISSIPPI

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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