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STACY HENRICKSON NP
NPI 1417157611
Nurse Practitioner in Concord, NC

Active since July 25, 2007
1090 NE GATEWAY CT NE, STE 204, CONCORD, NC 28025(704) 403-7020 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 20, 2021, Jan 6, 2021, Dec 29, 2020 and 30 more (33 updates tracked since 2018).

About Stacy Henrickson Np NPPES

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

STACY HENRICKSON NP (NPI 1417157611) is an individual nurse practitioner in Concord, North Carolina, licensed in North Carolina (5003123) and active in the NPI registry since July 2007. She maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1417157611
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY HENRICKSONCredential: NP
Location Address1090 NE GATEWAY CT NE, STE 204Concord, NC 28025-2414
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 403-7020
Sole ProprietorNo
Enumeration DateJuly 25, 2007
Last NPPES UpdateJanuary 20, 202133 updates tracked since enumeration
✔ NPI 1417157611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5003123
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1090 NE GATEWAY CT NE, Concord, NC 28025
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Secondary Practice Location 1

Location 15651 Poplar Tent Rd, Ste 200Concord, NC 28027-7530 · Phone (704) 403-7020

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.

LORI LOVETT ROBINSON FNP
Nurse Practitioner
1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025
Cabarrus County (704) 403-9050
DR. KRISTINE VERA WADE AU.D
Audiologist-Hearing Aid Fitter
1090 NE GATEWAY CT NE, SUITE 101
CONCORD, NC 28025
Cabarrus County (704) 403-9100
PAUL BREZICKI MD
Family Medicine
1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025
Cabarrus County (704) 403-9050
JESSICA ANN PEOPLES PA
Physician Assistant
1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025
Cabarrus County (704) 403-9050
PATRICK THOMAS KELLY MD
Internal Medicine (Pulmonary Disease)
1090 NE GATEWAY CT NE, STE 201
CONCORD, NC 28025
Cabarrus County (704) 403-7770
SHANE CASEY TIPTON MD
Orthopaedic Surgery
1090 NE GATEWAY CT NE, STE 204
CONCORD, NC 28025
Cabarrus County (704) 403-7020
LAUREN SMITH BARNHARDT FNP
Nurse Practitioner (Family)
1090 NE GATEWAY CT NE, STE 202
CONCORD, NC 28025
Cabarrus County (704) 403-9050
ANDREW GILLETT FERRIS DO
Orthopaedic Surgery
1090 NE GATEWAY CT NE, STE 204
CONCORD, NC 28025
Cabarrus County (704) 403-7020

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 Henrickson's NPI number?

The NPI number for Stacy Henrickson is 1417157611. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Stacy Henrickson located?

Stacy Henrickson practices at 1090 NE Gateway Ct NE Ste 204, Concord, NC 28025. The listed phone number is (704) 403-7020.

What is Stacy Henrickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Stacy Henrickson was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.