STACY PETTIFORD
NPI 1730438300
Case Manager/Care Coordinator in Fort Pierce, FL

Q: What is Stacy Pettiford's NPI number?

The NPI number for Stacy Pettiford is 1730438300. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Q: What is Stacy Pettiford's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Pettiford was last updated on August 29, 2012. 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 August 29, 2012

4500 W MIDWAY RD, FORT PIERCE, FL 34981(772) 672-8600(772) 468-5633 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacy Pettiford NPPES

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

STACY PETTIFORD (NPI 1730438300) is an individual case manager/care coordinator provider in Fort Pierce, Florida and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1730438300

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameSTACY PETTIFORD

Location Address4500 W MIDWAY RDFort Pierce, FL 34981-4823

Mailing Address4500 W Midway RdFort Pierce, FL 34981-4823 · (772) 672-8600 · Fax (772) 468-5633

Phone(772) 672-8600

Fax(772) 468-5633

Sole ProprietorNo

Enumeration DateAugust 29, 2012

✔ NPI 1730438300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

4500 W MIDWAY RD, Fort Pierce, FL 34981

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Other Providers at the Same Location NPPES 20

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

GRADY SAMS

Case Manager/Care Coordinator