IndividualActive
Stacey Ann Manderson
NPI 1417630807 · Community Health Worker · Palm Bay, FL
Stacey Ann Manderson is a Community Health Worker provider in Palm Bay, FL (NPI 1417630807).
Provider details
- NPI number
- 1417630807
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
985 Caligula Ave Se
Palm Bay, FL 32909-4754
Phone: (321) 419-6945
Street-level locationGet directions
Mailing address
985 Caligula Ave Se
Palm Bay, FL 32909-4754
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Frequently asked questions
- What is Stacey Ann Manderson's NPI number?
- Stacey Ann Manderson's National Provider Identifier (NPI) is 1417630807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Ann Manderson's specialty?
- Stacey Ann Manderson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Stacey Ann Manderson located?
- Stacey Ann Manderson's practice location on file with NPPES is 985 Caligula Ave Se, Palm Bay, FL 32909-4754.
- What is Stacey Ann Manderson's phone number?
- The practice phone number listed in the NPPES registry for Stacey Ann Manderson is (321) 419-6945.
- Is Stacey Ann Manderson's NPI active?
- Yes — Stacey Ann Manderson's NPI (1417630807) is active in the NPPES registry as of the last update on 2023-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.