MS. STACY L HYDRICK LPN
NPI 1619314549
Licensed Practical Nurse in Winnebago, IL

Q: What is Stacy Hydrick's NPI number?

The NPI number for Stacy Hydrick is 1619314549. It was assigned to this individual provider in the NPPES registry on June 1, 2013.

Q: What is Stacy Hydrick's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Hydrick was last updated on June 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 01, 2013

310 N BENTON ST, WINNEBAGO, IL 61088(815) 391-4684 Get Directions Write a Review

NPPES record last updated: June 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Stacy L Hydrick Lpn NPPES

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

MS. STACY L HYDRICK LPN (NPI 1619314549) is an individual licensed practical nurse in Winnebago, Illinois, licensed in Illinois (043.106224) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1619314549

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. STACY L HYDRICKCredential: LPN

Location Address310 N BENTON STWinnebago, IL 61088-8354

Mailing Address310 N Benton StWinnebago, IL 61088-8354 · (815) 391-4684

Phone(815) 391-4684

Sole ProprietorNo

Enumeration DateJune 1, 2013

✔ NPI 1619314549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043.106224

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

310 N BENTON ST, Winnebago, IL 61088

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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 Hydrick's NPI number?

The NPI number for Stacy Hydrick is 1619314549. It was assigned to this individual provider in the NPPES registry on June 1, 2013.

Where is Stacy Hydrick located?

Stacy Hydrick practices at 310 N Benton St, Winnebago, IL 61088. The listed phone number is (815) 391-4684.

What is Stacy Hydrick's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacy Hydrick was last updated on June 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.