Individual
STACY SHOURT
Active
Individual
STACY SHOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
16823
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
382505
NY
363LP0200X
Pediatric Nurse Practitioner
990023
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04523066
—
NY
05
—
79032273
—
CO
Enumeration date
12/31/2007
Last updated
11/25/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up