STACIE NICOLE KOEHLER MEZZADRI
NPI 1982368718
Technician - Attendant Care Provider in San Diego, CA

Q: What is Stacie Mezzadri's NPI number?

The NPI number for Stacie Mezzadri is 1982368718. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Q: What is Stacie Mezzadri's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Mezzadri was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 27, 2021

5470 VIA CARANCHO, SAN DIEGO, CA 92111(619) 261-2280 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Stacie Nicole Koehler Mezzadri NPPES

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

STACIE NICOLE KOEHLER MEZZADRI (NPI 1982368718) is an individual attendant care provider provider in San Diego, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1982368718

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameSTACIE NICOLE KOEHLER MEZZADRI

Location Address5470 VIA CARANCHOSan Diego, CA 92111-4523

Mailing Address5470 Via CaranchoSan Diego, CA 92111-4523 · (619) 261-2280

Phone(619) 261-2280

Sole ProprietorYes

Enumeration DateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1982368718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

5470 VIA CARANCHO, San Diego, CA 92111

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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 Stacie Mezzadri's NPI number?

The NPI number for Stacie Mezzadri is 1982368718. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Stacie Mezzadri located?

Stacie Mezzadri practices at 5470 Via Carancho, San Diego, CA 92111. The listed phone number is (619) 261-2280.

What is Stacie Mezzadri's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Stacie Mezzadri was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.