STACEY RENEE CARSON NP
NPI 1669185187
Nurse Practitioner - Family in Sacramento, CA

Q: What is Stacey Carson's NPI number?

The NPI number for Stacey Carson is 1669185187. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Q: What is Stacey Carson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Carson was last updated on April 17, 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.

Active since December 29, 2022

4600 BROADWAY STE 1400, SACRAMENTO, CA 95820(916) 875-1551 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacey Renee Carson Np NPPES

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

STACEY RENEE CARSON NP (NPI 1669185187) is an individual family provider in Sacramento, California, licensed in California (95016911) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1669185187

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY RENEE CARSONCredential: NP

Location Address4600 BROADWAY STE 1400Sacramento, CA 95820-1527

Mailing Address4600 Broadway Ste 1400Sacramento, CA 95820-1527 · (916) 875-1551

Phone(916) 875-1551

Sole ProprietorNo

Enumeration DateDecember 29, 2022

Last NPPES UpdateApril 17, 2023

NPPES CertifiedApril 17, 2023

✔ NPI 1669185187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95016911

4600 BROADWAY STE 1400, Sacramento, CA 95820

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLENE C BATTIMARCO R.T.

Radiologic Technologist (Radiography)

4600 BROADWAY STE 1400
SACRAMENTO, CA 95820

Sacramento County (916) 874-9334

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 Stacey Carson's NPI number?

The NPI number for Stacey Carson is 1669185187. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Stacey Carson located?

Stacey Carson practices at 4600 Broadway Ste 1400, Sacramento, CA 95820. The listed phone number is (916) 875-1551.

What is Stacey Carson'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 Stacey Carson was last updated on April 17, 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.