Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265716146 Individual Practitioner Female Practitioner

Stacey Phipps

Nursing Facility/Intermediate Care Facility • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Stacey Phipps is a registered healthcare professional specializing in Nursing Facility/Intermediate Care Facility in South Bend, IN. Practice services are available at 1950 RIDGEDALE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1950 Ridgedale Rd

South Bend, IN 466142243

Telephone 5742916722
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nursing Facility/Intermediate Care Facility in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in South Bend, IN (13 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nursing Facility/Intermediate Care Facility Primary Specialty

NUCC Taxonomy Code: 313M00000X

State License IN 32001430A

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Michelle Barkley

Occupational Therapy Assistant

NPI 1043542780
John Parhm , PTA

Physical Therapy Assistant

NPI 1063796951

Physical Therapist Assistant

Fatema Cischke , COTA

Occupational Therapy Assistant

NPI 1104245695

Certified Occupational Therapy Assistant

Jheri White

Physical Therapy Assistant

NPI 1124302054
NPI 1144427329

REHABTECH

Laura Schlinsky , MACCC, SLP

Speech-Language Pathologist

NPI 1154750859

MACCC, Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2011

Registered at 1950 RIDGEDALE RD, SOUTH BEND, IN 466142243 (Tel: 5742916722)

📍
Updated Business Mailing Address October 10, 2011

Registered at 2612 SOUTHRIDGE DR, SOUTH BEND, IN 466141536

👤
Provider Name / Credentials Updated October 10, 2011

Recorded as STACEY PHIPPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2011

Nursing Facility/Intermediate Care Facility (License #32001430A in IN)

🟢
Initial NPI Registration & Enumeration October 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265716146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2011
Last Update: October 10, 2011
Sole Proprietor: Yes

Mailing Address

2612 Southridge Dr

South Bend, IN 466141536

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.