Look up the most recent NPI and PECOS records

Stacy Lynne Simon

Chiropractor

Chiropractic Providers

6504 Clemson St, Bradenton, FL 34207-5622

PECOS Enrollment

Based on the most recent information from CMS, provider Stacy Lynne Simon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1891182416
Provider Type
Individual
Full Name
Simon, Stacy Lynne
Title
Dr.
Credential
DC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/21/2015
Last Updated
1/13/2022

Contact Information

Practice Location

6504 Clemson St, Bradenton, FL 34207-5622

(941) 526-5383

Unlisted Fax

Mailing Location

6504 Clemson St, Bradenton, FL 34207-5622

(941) 526-5383

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CH13645 Florida
Code 246ZE0600X	Description Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers	License Unlisted Issuer
Code 246ZS0410X	Description Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers	License Unlisted Issuer

Stacy Lynne Simon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Dr Richard M Tambe D C Pa

Bee Ridge Chiropractic Center Llc

Joan Blackford-Heintz, Pa.

Wilson, Lucas Robert Beattie

Chiropractic Injury And Recovery Center Inc

Back Pain Institute Of West Florida

Jepsen, Megan Elizabeth

Steven R Sweat, Dc, Pa

Blackford-Heintz, Joan L

D Chris Emmert Dc Pa