Individual
STACY A. FORRESTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9100 W. 74TH STREET, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501310
KS
363AM0700X
Medical Physician Assistant
MA003020L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200623680A
—
KS
01
—
42508017
BCBS KC
KS
01
—
P00765509
RR MEDICARE
KS
Enumeration date
08/26/2006
Last updated
11/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us