STACIE SIDBERRY NURSE PRACTITIONER
NPI 1609318278
Nurse Practitioner - Family in Denver, CO

Active since November 13, 2016
4128 ODESSA ST, DENVER, CO 80249(720) 621-1544 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Nov 13, 2016 (2 updates tracked since 2016).

About Stacie Sidberry Nurse Practitioner NPPES

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

STACIE SIDBERRY NURSE PRACTITIONER (NPI 1609318278) is an individual family provider in Denver, Colorado, licensed in Colorado (0996414-NP) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1609318278
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACIE SIDBERRYCredential: NURSE PRACTITIONER
Location Address4128 ODESSA STDenver, CO 80249-8002
Mailing Address4128 Odessa StDenver, CO 80249-8002 · (720) 621-1544
Sole ProprietorNo
Enumeration DateNovember 13, 2016
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
NPI 1609318278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · 0996414-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License 0167958 (CO)
4128 ODESSA ST, Denver, CO 80249

Other Names 1

Professional Name (2)Stacie Sidberry Np

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 Stacie Sidberry's NPI number?

The NPI number for Stacie Sidberry is 1609318278. It was assigned to this individual provider in the NPPES registry on November 13, 2016. The provider is also known as Stacie Sidberry Np.

Where is Stacie Sidberry located?

Stacie Sidberry practices at 4128 Odessa St, Denver, CO 80249. The listed phone number is (720) 621-1544.

What is Stacie Sidberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacie Sidberry was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.