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Active NPI 1417099565 Individual Practitioner Female Practitioner

Stacey Baskerville

Emergency Medical Technician, Intermediate • Sweeny, TX

Professional Overview & Biography Verified Profile Summary

Stacey Baskerville is a registered healthcare professional specializing in Emergency Medical Technician, Intermediate in Sweeny, TX. Practice services are available at 300 SILVERLEAF RD APT 1201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Silverleaf Rd Apt 1201

Sweeny, TX 774801839

Telephone 9794824637

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medical Technician, Intermediate in Sweeny, TX

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

Practicing in Sweeny, TX (8 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

Emergency Medical Technician, Intermediate Primary Specialty

NUCC Taxonomy Code: 146M00000X

State License TX 139905

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1824609 (TX)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 300 SILVERLEAF RD APT 1201, SWEENY, TX 774801839 (Tel: 9794824637)

📍
Updated Business Mailing Address July 08, 2007

Registered at 300 SILVERLEAF RD APT 1201, SWEENY, TX 774801839 (Tel: 9794824637)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY BASKERVILLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medical Technician, Intermediate (License #139905 in TX)

🟢
Initial NPI Registration & Enumeration February 13, 2007

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: 1417099565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

300 Silverleaf Rd Apt 1201

Sweeny, TX 774801839

Phone: 9794824637

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.