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STACEY LYNN ADAN CST
NPI 1962367029
Specialist/Technologist, Other - Surgical Assistant in Boise, ID

Active since December 22, 2025
8800 W EMERALD ST, BOISE, ID 83704(208) 373-5000 Get Directions Write a Review

NPPES record last updated: February 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Lynn Adan Cst NPPES

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

STACEY LYNN ADAN CST (NPI 1962367029) is an individual surgical assistant in Boise, Idaho and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1962367029
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameSTACEY LYNN ADANCredential: CST
Location Address8800 W EMERALD STBoise, ID 83704-8205
Mailing Address16 S Bingham StNampa, ID 83651-7650
Phone(208) 373-5000
Sole ProprietorYes
Enumeration DateDecember 22, 2025
Last NPPES UpdateFebruary 22, 2026
NPPES CertifiedFebruary 22, 2026
✔ NPI 1962367029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
8800 W EMERALD ST, Boise, ID 83704
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Other Providers at the Same Location NPPES 13

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

JOHN MATHER HINE MD
Anesthesiology
8800 W EMERALD ST
BOISE, ID 83704
Ada County (208) 373-5000
ANESTHESIOLOGY CONSULTANTS OF TREASURE VALLEY PLLC
Anesthesiology
8800 W EMERALD ST
BOISE, ID 83704
Ada County (208) 373-5000
BRENT KENNER CHILDERS MD
Anesthesiology
8800 W EMERALD ST
BOISE, ID 83704
Ada County (208) 373-5000
JOHN G MIGLIORI MD
Anesthesiology
8800 W EMERALD ST
BOISE, ID 83704
Ada County (208) 373-5000
DIAGNOSTIC HEALTH CORPORATION
Physiological Laboratory
8800 W EMERALD ST
BOISE, ID 83704
Ada County (208) 373-5012
SARAH RENEE GRITZNER DNAP, CRNA, APRN
Nurse Anesthetist, Certified Registered
8800 W EMERALD ST
BOISE, ID 83704
Ada County (208) 373-5000
JOHNNY GARCIA CST
Specialist/Technologist, Other (Surgical Assistant)
8800 W EMERALD ST
BOISE, ID 83704
Ada County (208) 373-5000
OPTUM BEHAVIORAL CARE OF OHIO, INC.
Social Worker (Clinical)
8800 W EMERALD ST
BOISE, ID 83704
Ada County (877) 622-0013

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 Adan's NPI number?

The NPI number for Stacey Adan is 1962367029. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Stacey Adan located?

Stacey Adan practices at 8800 W Emerald St, Boise, ID 83704. The listed phone number is (208) 373-5000.

What is Stacey Adan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Stacey Adan was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.