Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760750400 Individual Practitioner Female Practitioner

Stacey V Wimberley , BS, LMT

Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Stacey Wimberley, BS, LMT is a registered healthcare professional specializing in Specialist in Bend, OR. Practice services are available at 365 NE KEARNEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

365 Ne Kearney Ave

Bend, OR 977014573

Telephone 5419484823

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
63 Specialists

Practicing in Bend, OR (1153 Statewide)

Telehealth Adoption Rate
1.6% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 7644

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1144541848

MAOM, Licensed Acupuncturist, DIPLAC

Lyndsey Carter , LMT, LE

Massage Therapist

NPI 1265818157

Licensed Massage Therapist, LE

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 27, 2014

Registered at 365 NE KEARNEY AVE, BEND, OR 977014573 (Tel: 5419484823)

📍
Updated Business Mailing Address January 27, 2014

Registered at 3000 NE YELLOW RIBBON DR, BEND, OR 977017522 (Tel: 5419484823)

👤
Provider Name / Credentials Updated January 27, 2014

Recorded as STACEY WIMBERLEY, BS, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Specialist (License #7644 in OR)

🟢
Initial NPI Registration & Enumeration December 08, 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: 1760750400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2011
Last Update: January 27, 2014
Sole Proprietor: Yes

Mailing Address

3000 Ne Yellow Ribbon Dr

Bend, OR 977017522

Phone: 5419484823

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.