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RACHENETTA V STIMAGE MD PA
NPI 1154666980
Obstetrics & Gynecology in Carrollton, TX

Active since December 05, 2012CLIA 45D2058925 · Microscopy
4360 N JOSEY LN, CARROLLTON, TX 75010(972) 492-7606(972) 492-0105 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachenetta V Stimage Md Pa NPPES

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

RACHENETTA V STIMAGE MD PA (NPI 1154666980) is a healthcare organization registered as an obstetrics & gynecology in Carrollton, Texas and active in the NPI registry since December 2012. The organization holds a CLIA Microscopy certificate valid through May 13, 2027, maintains a secondary practice location in Carrollton, and lists Crystal Marie Graham, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154666980
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameRACHENETTA V STIMAGE MD PA
Location Address4360 N JOSEY LNCarrollton, TX 75010-4602
Mailing Address4360 N Josey LnCarrollton, TX 75010-4602 · (972) 492-7606 · Fax (972) 492-0105
Phone(972) 492-7606
Fax(972) 492-0105
Organization SubpartNo
Authorized OfficialCrystal Marie GrahamOffice Manager · (972) 492-7606
Enumeration DateDecember 5, 2012
Last NPPES UpdateMay 20, 2019
✔ NPI 1154666980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M9680
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4360 N JOSEY LN, Carrollton, TX 75010
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Secondary Practice Location 1

Location 14325 N Josey Ln, Suite 210Carrollton, TX 75010-4635 · Phone (463) 316-3216

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2058925

Rachenetta V Stimage MD PA · Carrollton, TX
Active · expires May 13, 2027
CLIA Number45D2058925
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorRachenetta Stimage
Laboratory Phone(972) 492-7606
Laboratory LocationRachenetta V Stimage MD PA4333 N Josey Lane Suite 200, Carrollton, TX 75010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

ERIN ALEXIS CASE M.D.
Family Medicine
4360 N JOSEY LN
CARROLLTON, TX 75010
Denton County (972) 242-0185
MARYGRACE C LEVEILLE NP
Nurse Practitioner (Acute Care)
4360 N JOSEY LN
CARROLLTON, TX 75010
Denton County (972) 939-8294
DEBRA ANN JOHNSON R.D./L.D., C.D.E.
Dietitian, Registered
4360 N JOSEY LN
CARROLLTON, TX 75010
Denton County (972) 242-0185
RACHENETTA V. STIMAGE M.D.
Obstetrics & Gynecology
4360 N JOSEY LN
CARROLLTON, TX 75010
Denton County (972) 492-7606

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 Rachenetta V Stimage MD PA's NPI number?

The NPI number for Rachenetta V Stimage MD PA is 1154666980. It was assigned to this organization in the NPPES registry on December 5, 2012.

Where is Rachenetta V Stimage MD PA located?

Rachenetta V Stimage MD PA is located at 4360 N Josey Ln, Carrollton, TX 75010. The listed phone number is (972) 492-7606.

What is Rachenetta V Stimage MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Rachenetta V Stimage MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2058925) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rachenetta V Stimage MD PA was last updated on May 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.