KIMBERLY MARIE STACK PMHNP-BC
NPI 1366413536
Nurse Practitioner in Clifton Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 27, 2006

Contact Information

954 Route 146 Ste 3
Clifton Park,
Post Code: 12065
Phone: (518) 952-4000
Fax: (833) 974-2234

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Kimberly Marie Stack Pmhnp-bc in Clifton Park - Nurse Practitioner

Kimberly Marie Stack Pmhnp-bc is a Nurse Practitioner in Clifton Park, . Kimberly Marie Stack Pmhnp-bc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kimberly Marie Stack Pmhnp-bc is 1366413536. The last update date is 2024-08-19.

Kimberly Marie Stack Pmhnp-bc's current location address is 954 Route 146 Ste 3, Clifton Park, . You can contact this provider via phone number (518) 952-4000 and fax number (833) 974-2234. The mailing address for Kimberly Marie Stack Pmhnp-bc is 954 Route 146 Ste 3, Clifton Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1366413536
Provider Name
KIMBERLY MARIE STACK PMHNP-BC
Gender
Female
Entity Type
Individual
Location Address
954 Route 146 Ste 3, Clifton Park,
Location Phone
(518) 952-4000
Location Fax
(833) 974-2234
Mailing Address
954 Route 146 Ste 3, Clifton Park, New York(NY)
Mailing Phone
518-952-4000
Mailing Fax
833-974-2234
Enumeration Date
2006-01-27
Last Update Date
2024-08-19
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist, Psych/Mental Health, Child & Family

Taxonomy Code
364SP0810X
Type
-
License No.
F402216
License State
New York (NY)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 363L00000X Nurse Practitioner

Nurse Practitioner

F402216 (New York)
2 367500000X Certified Registered Nurse Anesthetist

Nurse Anesthetist, Certified Registered

0001125389 (Virginia)
3 367500000X Certified Registered Nurse Anesthetist

Nurse Anesthetist, Certified Registered

426056-1 (New York)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366413536
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312681656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2312681656
2 + 3 + 1 + 2 + 6 + 8 + 1 + 6 + 5 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6 6

The NPI number 1366413536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205839255 STEVEN M GOLDBERG
Individual
Internal Medicine, Cardiovascular Disease 1010 NORTHERN BLVD
GREAT NECK, New York (NY)
516-390-2430
1073516027 JOHN CHU-HONG CHANG
Individual
Ophthalmology 169 N MIDDLETOWN RD
PEARL RIVER, New York (NY)
845-735-5666
1336142389 ADIRONDACK MEDICAL HEALTH CARE ASSOCIATES PLLC
Organization
Emergency Medicine PO BOX 2004
EAST SYRACUSE, New York (NY)
315-362-5285
1245233295 JILL K POTTS
Individual
Internal Medicine 335 PARRISH ST
CANANDAIGUA, New York (NY)
585-393-2845
1003819053 THOMAS J LACLAIR
Individual
Family Medicine 436 HINSDALE RD
CAMILLUS, New York (NY)
315-488-0996