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STACY TOM
NPI 1487543864
Registered Nurse in Wellsboro, PA

Active since July 01, 2025
32-36 CENTRAL AVE, WELLSBORO, PA 16901(570) 662-5395 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Tom NPPES

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

STACY TOM (NPI 1487543864) is an individual registered nurse in Wellsboro, Pennsylvania, licensed in Pennsylvania (RN509457L) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1487543864
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSTACY TOM
Location Address32-36 CENTRAL AVEWellsboro, PA 16901-1899
Mailing Address482 Benauer RdWellsboro, PA 16901-7806 · (570) 662-5395
Phone(570) 662-5395
Sole ProprietorYes
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1487543864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in PA · RN509457L
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
32-36 CENTRAL AVE, Wellsboro, PA 16901
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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.

AUTUMN ELIZABETH DIETRICH
Registered Nurse
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Tioga County (570) 723-0145
LEVI HEWITT PTA
Physical Therapy Assistant
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Tioga County (570) 723-0675
TIOGA HEALTH CARE PROVIDERS, INC
Emergency Medicine
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Tioga County (570) 723-0100
ANDREW J SAYRE M.D.
Emergency Medicine (Emergency Medical Services)
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Tioga County (570) 723-0140
DR. PERRY WYNN DOAN JR. DO
Emergency Medicine
32-36 CENTRAL AVE, SSMH - EMERGENCY DEPARTMENT
WELLSBORO, PA 16901
Tioga County (570) 723-0140
KELLE B JOHNSON PA-C
Physician Assistant
32-36 CENTRAL AVE, EMERGENCY DEPARTMENT
WELLSBORO, PA 16901
Tioga County (570) 723-0145
DONALD D SHAW D.O.
Emergency Medicine (Emergency Medical Services)
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Tioga County (570) 723-0140
SHERYL HOUSEL
Nurse Anesthetist, Certified Registered
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Tioga County (570) 723-7764

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 Tom's NPI number?

The NPI number for Stacy Tom is 1487543864. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Stacy Tom located?

Stacy Tom practices at 32-36 Central Ave, Wellsboro, PA 16901. The listed phone number is (570) 662-5395.

What is Stacy Tom's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Stacy Tom was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.