EVELYN M STACY ARNP NPI 1740233030

NPI Information

NPI: 1740233030
Provider Name: EVELYN M STACY, ARNP
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

PECOS Registration: Yes

Address:
100 HITCHCOCK WAY
MANCHESTER, NH
ZIP 03104
Phone: (603) 695-2500
Get Directions

Evelyn M Stacy, ARNP is a psychiatric/mental health and child and adolescent clinical nurse specialist in Manchester, NH. Evelyn M Stacy, ARNP NPI is 1740233030. 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 HITCHCOCK WAY
MANCHESTER, NH
ZIP 03104-125
Phone: (603) 695-2500
Fax: (603) 898-4779

The NPI 1740233030 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 5/18/2006 and was last updated on 2/24/2022.

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	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	029942-23	NEW HAMPSHIRE	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN 02994221	NEW HAMPSHIRE	No
3	363LP0200X	Nurse Practitioner	Pediatrics	029942-23	NEW HAMPSHIRE	No
4	363LP0200X	Nurse Practitioner	Pediatrics	AR NP 0299422308	NEW HAMPSHIRE	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AR NP 0299422302	NEW HAMPSHIRE	No

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	30009223	MEDICAID	NEW HAMPSHIRE

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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