1. Home
  2. Directory
  3. Kentucky
  4. Crestview Hills
  5. Physician Assistant
  6. NPI Profile

STACEY L SHADIX PA-C
NPI 1316015910
Physician Assistant in Crestview Hills, KY

Active since December 01, 2006
2865 CHANCELLOR DR, SUITE 225, CRESTVIEW HILLS, KY 41017(859) 341-5400(859) 578-3172 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey L Shadix Pa-c NPPES

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

STACEY L SHADIX PA-C (NPI 1316015910) is an individual physician assistant in Crestview Hills, Kentucky, licensed in Kentucky (PA1136) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1316015910
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACEY L SHADIXCredential: PA-C
Location Address2865 CHANCELLOR DR, SUITE 225Crestview Hills, KY 41017-3912
Mailing Address2865 Chancellor Dr, Suite 225Crestview Hills, KY 41017-3912 · (859) 341-5400 · Fax (859) 578-3172
Phone(859) 341-5400
Fax(859) 578-3172
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateOctober 16, 2008
✔ NPI 1316015910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in KY · PA1136✔ Licensed in OH · 50-00-2367
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2865 CHANCELLOR DR, Crestview Hills, KY 41017
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ56005OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

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.

MICHAELA MARTIN
Physical Therapy Assistant
2865 CHANCELLOR DR, SUITE 105
CRESTVIEW HILLS, KY 41017
Kenton County (859) 426-5666
JORDAN C HSU M.D.
Pediatrics
2865 CHANCELLOR DR, SUITE 225
CRESTVIEW HILLS, KY 41017
Kenton County (859) 341-5400
CRISTA YEAGER SLP
Speech-Language Pathologist
2865 CHANCELLOR DR, SUITE 105
CRESTVIEW HILLS, KY 41017
Kenton County (859) 426-5666
AMBER J CULLEN CNP
Nurse Practitioner
2865 CHANCELLOR DR, SUITE 225
CRESTVIEW HILLS, KY 41017
Kenton County (859) 341-5400
CYNTHIA S SPICKER M.D.
Pediatrics
2865 CHANCELLOR DR, SUITE 225
CRESTVIEW HILLS, KY 41017
Kenton County (859) 341-5400
MARK H. DEIS M.D.
Pediatrics
2865 CHANCELLOR DR, SUITE 225
CRESTVIEW HILLS, KY 41017
Kenton County (859) 341-5400
MRS. LESLEY ERIN CARLSON COTA
Occupational Therapy Assistant
2865 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017
Kenton County (859) 426-5666
FOOT SPECIALISTS OF GREATER CINCINNATI
Podiatrist (Foot Surgery)
2865 CHANCELLOR DR, SUITE 205
CRESTVIEW HILLS, KY 41017
Kenton County (859) 341-9900

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 Stacey Shadix's NPI number?

The NPI number for Stacey Shadix is 1316015910. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Stacey Shadix located?

Stacey Shadix practices at 2865 Chancellor Dr Suite 225, Crestview Hills, KY 41017. The listed phone number is (859) 341-5400.

What is Stacey Shadix's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Stacey Shadix accept?

Health plans from MedMutual list Stacey Shadix as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Shadix was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.