Stacey Beth Gregory, - Nurse Practitioner in Glendale, AZ

Stacey Beth Gregory, is a Nurse Practitioner - Psychiatric/mental Health based in Glendale, Arizona. Stacey Beth Gregory is licensed to practice in Arizona (license number AP3709) and her current practice location is 5701 W Talavi Blvd, Suite 180, Glendale, Arizona. She can be reached at her office (for appointments etc.) via phone at (623) 486-8202.

NPI number for Stacey Beth Gregory is 1093760167 and her current mailing address is 4747 N 7th St, Suite 100, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093760167.

Contact Information

Stacey Beth Gregory,
5701 W Talavi Blvd, Suite 180,
Glendale, AZ 85306-1886
(623) 486-8202
(623) 486-2739

Map and Direction




Provider's Profile

Full NameStacey Beth Gregory
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5701 W Talavi Blvd, Glendale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093760167
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 11/08/2012

Medical Identifiers

Medical identifiers for Stacey Beth Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093760167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health SP009026 (Pennsylvania)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP3709 (Arizona)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 400916 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health 304376 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Beth Gregory is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Beth Gregory,
4747 N 7th St, Suite 100,
Phoenix, AZ 85014-3653

Ph: (602) 279-7655
Stacey Beth Gregory,
5701 W Talavi Blvd, Suite 180,
Glendale, AZ 85306-1886

Ph: (623) 486-8202

Reviews and Comments


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