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STACEY LYNNE MAYBERRY
NPI 1760957195
Licensed Vocational Nurse in Sacramento, CA

Active since October 12, 2018
310 HARRIS AVE, SACRAMENTO, CA 95838(916) 649-6793 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Lynne Mayberry NPPES

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

STACEY LYNNE MAYBERRY (NPI 1760957195) is an individual licensed vocational nurse in Sacramento, California, licensed in California (VN204187) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1760957195
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSTACEY LYNNE MAYBERRY
Location Address310 HARRIS AVESacramento, CA 95838-3249
Mailing Address310 Harris Ave, Ste ASacramento, CA 95838-3249
Phone(916) 649-6793
Sole ProprietorNo
Enumeration DateOctober 12, 2018
✔ NPI 1760957195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN204187
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
310 HARRIS AVE, Sacramento, CA 95838
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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.

GARRICK SIMPSON
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
NAVJOT KAUR SANDHU LVN
Licensed Vocational Nurse
310 HARRIS AVE, STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
HAYDEN ESPY MAY
Counselor
310 HARRIS AVE, STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
SHANNON MARTIN
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
BI-VALLEY MEDICAL CLINIC, INC.
Clinic/Center (Methadone)
310 HARRIS AVE, SUITE A, E, F, G
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
CASSIE ANN KAPLAN MA
Case Manager/Care Coordinator
310 HARRIS AVE
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
MR. KARSTEN QUEVEDO
Licensed Vocational Nurse
310 HARRIS AVE
SACRAMENTO, CA 95838
Sacramento County (916) 607-5037
MS. SUZANNE LYNETTE SAFLEY
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE, SUITE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793

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 Mayberry's NPI number?

The NPI number for Stacey Mayberry is 1760957195. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Stacey Mayberry located?

Stacey Mayberry practices at 310 Harris Ave, Sacramento, CA 95838. The listed phone number is (916) 649-6793.

What is Stacey Mayberry's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Stacey Mayberry was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.