Stacey Geoghegan
Nurse Practitioner (Adult Health)

Address: 684 Washington St Apt 3b, New York, NY 10014-2507
Phone: 6463572209

Stacey Geoghegan (NPI# 1336761907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1336761907
Entity Type Individual
Full Name Stacey Geoghegan
Credential NP
Gender Female
Practice Address 684 Washington St Apt 3b
New York
NY 10014-2507
Practice Telephone 6463572209
Mailing Address 684 Washington St Apt 3b
New York
NY 10014-2507
Mailing Telephone 6463572209
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-05-17
Last Update Date 2020-05-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers F309321-01 NY

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 684 WASHINGTON ST APT 3B
State NY
Zip Code 10014-2507

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972142446 Marco A Campello Physical Therapist 63 Downing Street, New York, NY 10014 2020-01-02
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1528539525 David R Schoenberger Psychoanalyst 27 West 12th Street, Apt 1-c, New York, NY 10014 2018-12-17
1932670270 Paul Scoles Orthopaedic Surgery 27o W 11th, 6f, New York, NY 10014 2018-12-16
1831633965 Carol Bonhomme Speech-Language Pathologist 250 West Houston Street, 721m, New York, NY 10014 2016-12-08
1346783016 Dawn Julie Adamousky Speech-Language Pathologist 450 Hudson Street, New York, NY 10014 2016-11-29
1306394184 Michael Carollo Psychologist 247 W 11th St # 102, New York, NY 10014 2016-09-21
1578922472 Samriti Goyal Dentist 44 Perry St Apt 5r, New York, NY 10014 2016-02-19
1255734471 Chavie E Lichtenberg Counselor 165 Christopher St Apt 4n, New York, NY 10014 2014-10-01
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Zip Code 10014

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.