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

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: July 19, 2026.

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

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

Reviews for MRS. STACY SHANETTE SALJOUGHI BA IN KINESIOLOGY

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Frequently Asked Questions

What is Stacy Saljoughi's NPI number?

The NPI number assigned to this healthcare provider is 1558052597, enumerated as an "individual" on May 19, 2023.

Where is the provider located?

The provider is located at 921 CRAWFORD ST APT 4106 FORT WORTH, TX 76104 and the phone number is (817) 891-2471.

What is the provider's specialty?

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.