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STACY L MC DOWELL CNS
NPI 1376845073
Clinical Nurse Specialist in South Bend, IN

Active since December 01, 2010
621 MEMORIAL DR STE 312, SOUTH BEND, IN 46601(574) 647-5200(574) 647-5210 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2018, Mar 21, 2016 (2 updates tracked since 2016).

About Stacy L Mc Dowell Cns NPPES

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

STACY L MC DOWELL CNS (NPI 1376845073) is an individual clinical nurse specialist in South Bend, Indiana, licensed in Indiana (71003872A) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1376845073
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameSTACY L MC DOWELLCredential: CNS
Location Address621 MEMORIAL DR STE 312South Bend, IN 46601-1073
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 647-5200
Fax(574) 647-5210
Sole ProprietorNo
Enumeration DateDecember 1, 2010
Last NPPES UpdateApril 16, 20182 updates tracked since enumeration
✔ NPI 1376845073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in IN · 71003872A
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
621 MEMORIAL DR STE 312, South Bend, IN 46601
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Other Identifiers 3

Medicaid201006430IN
Other000000769085IN · Bcbs Bmg Vascular Interventional Rad
OtherP01146029IN · Rr Medicare

Other Providers at the Same Location NPPES 2

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

KEVIN M SMALL MD
Radiology (Vascular & Interventional Radiology)
621 MEMORIAL DR STE 312
SOUTH BEND, IN 46601
St. Joseph County (574) 647-5200
BEACON MEDICAL GROUP, INC.
Radiology (Vascular & Interventional Radiology)
621 MEMORIAL DR STE 312
SOUTH BEND, IN 46601
St. Joseph County (574) 647-5200

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 Mc Dowell's NPI number?

The NPI number for Stacy Mc Dowell is 1376845073. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Stacy Mc Dowell located?

Stacy Mc Dowell practices at 621 Memorial Dr Ste 312, South Bend, IN 46601. The listed phone number is (574) 647-5200.

What is Stacy Mc Dowell's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Stacy Mc Dowell was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.