Active NPI 1932438751 Individual Practitioner Female Practitioner

Stacy Gail Ettinger , CPNP

Nurse Practitioner - Pediatrics • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Stacy Ettinger, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Dallas, TX. Practice services are available at 1935 MEDICAL DISTRICT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1935 Medical District Dr
Center For Cancer And Blood Disorders

Dallas, TX 752357701

Telephone 2144563214

Associated Practice Facility / Clinic

🏢 Anesthesiologists For Children Facility NPI 1700837408

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Dallas, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.8 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

337 Specialists

Practicing in Dallas, TX (2253 Statewide)

Telehealth Adoption Rate

0.3% 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

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 696355

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Teresa Jones , CPNP-AC

Nurse Practitioner - Pediatrics

NPI 1003131681

CPNPAC

Cassie Laurence , PA-C

Physician Assistant

NPI 1003140203

Physician Assistant (Certified)

Michele Rylander , RN, MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1003182627

Registered Nurse, Master of Science in Nursing, Certified Pediatric Nurse Practitioner

Adam Wenner , CPNP-AC

Nurse Practitioner - Pediatrics, Critical Care

NPI 1003212879

CPNPAC

Dr. Richard Sentelle , DMD, PhD

Student in an Organized Health Care Education/Training Program

NPI 1003231424

Doctor of Dental Medicine, Doctor of Philosophy (Ph.D.)

Kelsey Burkhart , PA

Physician Assistant

NPI 1003494485

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2010

Registered at 1935 MEDICAL DISTRICT DR, CENTER FOR CANCER AND BLOOD DISORDERS, DALLAS, TX 752357701 (Tel: 2144563214)

📍

Updated Business Mailing Address September 22, 2010

Registered at 3019 THOMAS AVE APT 1402, DALLAS, TX 752042814 (Tel: 2144563214)

👤

Provider Name / Credentials Updated September 22, 2010

Recorded as STACY ETTINGER, CPNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2010

Nurse Practitioner (License #696355 in TX)

🟢

Initial NPI Registration & Enumeration December 08, 2009

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: 1932438751

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 08, 2009

Last Update: September 22, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3019 Thomas Ave Apt 1402

Dallas, TX 752042814

Phone: 2144563214

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.