MRS. STACY SHANETTE SALJOUGHI BA IN KINESIOLOGY
NPI 1558052597
Technician - Attendant Care Provider in Fort Worth, TX

Q: What is Stacy Saljoughi's NPI number?

The NPI number for Stacy Saljoughi is 1558052597. It was assigned to this individual provider in the NPPES registry on May 19, 2023. The provider is also known as Miss Stacy Shanette Gholston Ba In Kinesiology.

Q: What is Stacy Saljoughi's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Saljoughi was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 19, 2023

921 CRAWFORD ST APT 4106, FORT WORTH, TX 76104(817) 891-2471 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 19, 2025, May 19, 2023 (2 updates tracked since 2023).

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About Mrs. Stacy Shanette Saljoughi Ba In Kinesiology NPPES

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

MRS. STACY SHANETTE SALJOUGHI BA IN KINESIOLOGY (NPI 1558052597) is an individual attendant care provider provider in Fort Worth, Texas and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1558052597

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameMRS. STACY SHANETTE SALJOUGHICredential: BA IN KINESIOLOGY

Location Address921 CRAWFORD ST APT 4106Fort Worth, TX 76104-3481

Mailing Address136 Flyaway LnFort Worth, TX 76120-1634 · (817) 891-2471

Phone(817) 891-2471

Sole ProprietorYes

Enumeration DateMay 19, 2023

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1558052597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

Also ListedPrivate VehicleTaxonomy 347C00000X

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

921 CRAWFORD ST APT 4106, Fort Worth, TX 76104

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Other Names 1

Former Name (1)Miss Stacy Shanette Gholston Ba In Kinesiology

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 Saljoughi's NPI number?

The NPI number for Stacy Saljoughi is 1558052597. It was assigned to this individual provider in the NPPES registry on May 19, 2023. The provider is also known as Miss Stacy Shanette Gholston Ba In Kinesiology.

Where is Stacy Saljoughi located?

Stacy Saljoughi practices at 921 Crawford St Apt 4106, Fort Worth, TX 76104. The listed phone number is (817) 891-2471.

What is Stacy Saljoughi's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Stacy Saljoughi was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.