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STACEY BASKERVILLE
NPI 1417099565
Emergency Medical Technician, Intermediate in Sweeny, TX

Active since February 13, 2007
300 SILVERLEAF RD APT 1201, SWEENY, TX 77480(979) 482-4637 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Baskerville NPPES

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

STACEY BASKERVILLE (NPI 1417099565) is an individual emergency medical technician, intermediate provider in Sweeny, Texas, licensed in Texas (139905) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1417099565
Entity TypeIndividualFemale
Primary Taxonomy146M00000X
Provider Legal NameSTACEY BASKERVILLE
Location Address300 SILVERLEAF RD APT 1201Sweeny, TX 77480-1839
Mailing Address300 Silverleaf Rd Apt 1201Sweeny, TX 77480-1839 · (979) 482-4637
Phone(979) 482-4637
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417099565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License✔ Licensed in TX · 139905
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
300 SILVERLEAF RD APT 1201, Sweeny, TX 77480
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Other Identifiers 2

Medicaid1824609TX
Medicare ID-Type UnspecifiedAMB518TX

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 Baskerville's NPI number?

The NPI number for Stacey Baskerville is 1417099565. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Stacey Baskerville located?

Stacey Baskerville practices at 300 Silverleaf Rd Apt 1201, Sweeny, TX 77480. The listed phone number is (979) 482-4637.

What is Stacey Baskerville's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Stacey Baskerville was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.