STACEY KIRKPATRICK DRURY MD - NPI 1316560683 - Student in an Organized Health Care Education/Training Program in Gainesville, FL

Q: What is Stacey Drury's NPI number?

The NPI number for Stacey Drury is 1316560683. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Q: What is Stacey Drury's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Drury was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Stacey Kirkpatrick Drury Md NPPES

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

STACEY KIRKPATRICK DRURY MD (NPI 1316560683) is an individual student in an organized health care education/training program in Gainesville, Florida, licensed in Florida (TRN30547) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1316560683

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSTACEY KIRKPATRICK DRURYCredential: MD

Location Address1147 NW 64TH TER FL 32605Gainesville, FL 32605-4218

Mailing AddressPo Box 103450Gainesville, FL 32610-3450 · (352) 265-8017

Phone(352) 333-5152

Sole ProprietorNo

Enumeration DateMay 21, 2020

Last NPPES UpdateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1316560683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · TRN30547

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1147 NW 64TH TER FL 32605, Gainesville, FL 32605

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Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-8017

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Kirkpatrick Drury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

DREW TINGEY DO