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STACY L THOMPSON NP
NPI 1063840759
Nurse Practitioner - Family in Indianapolis, IN

Active since October 16, 2013
1520 N SENATE AVE, INDIANAPOLIS, IN 46202(317) 962-8893(317) 962-6722 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacy L Thompson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY L THOMPSON NP (NPI 1063840759) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71004728A) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1063840759
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY L THOMPSONCredential: NP
Location Address1520 N SENATE AVEIndianapolis, IN 46202-2213
Mailing Address250 N Shadeland Ave, Suite 130 - Provider EnrollmentIndianapolis, IN 46219-4959
Phone(317) 962-8893
Fax(317) 962-6722
Sole ProprietorNo
Enumeration DateOctober 16, 2013
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1063840759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71004728A
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 28207962A (IN)
1520 N SENATE AVE, Indianapolis, IN 46202
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Other Names 1

Former Name (1)Stacy Lynn Fetzer

Other Identifiers 2

Medicare PIN068010028IN
Medicaid201200500IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY FAMILY PHYSICIANS INC
Clinic/Center (Health Service)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-5447
DR. ANN MARIE NELSON DO
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. ANKUSH GOYAL M.D.
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
JAVIER FRANCISCO SEVILLA MD
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
JEROME BRENT SNEED M.D.
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
LALITA PRASAD PHARMD, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-1045
DR. KRISTIN ELIZABETH RICHTER M.D.
Student in an Organized Health Care Education/Training Program
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-5423
DR. PHILIP CHARLES FERGUSON MD
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Thompson's NPI number?

The NPI number for Stacy Thompson is 1063840759. It was assigned to this individual provider in the NPPES registry on October 16, 2013. The provider is also known as Stacy Lynn Fetzer.

Where is Stacy Thompson located?

Stacy Thompson practices at 1520 N Senate Ave, Indianapolis, IN 46202. The listed phone number is (317) 962-8893.

What is Stacy Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacy Thompson was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.