IndividualActive
Stacey Nickerson
NPI 1679239974 · Peer Specialist · Greensboro, NC
Stacey Nickerson is a Peer Specialist provider in Greensboro, NC (NPI 1679239974).
Provider details
- NPI number
- 1679239974
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- HC6258 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2031 Martin Luther King Jr Dr Ste D
Greensboro, NC 27406-3300
Phone: (336) 588-8268
Street-level locationGet directions
Mailing address
3716 Lynhaven Dr
Greensboro, NC 27406-5733
Additional practice locations (1)
- 301 S Elm St Ste 426Greensboro, NC 27401-2675Phone: (336) 383-6498
Registry dates
- Enumerated
- 2021-11-10
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Stacey Nickerson's NPI number?
- Stacey Nickerson's National Provider Identifier (NPI) is 1679239974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Nickerson's specialty?
- Stacey Nickerson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Stacey Nickerson located?
- Stacey Nickerson's practice location on file with NPPES is 2031 Martin Luther King Jr Dr Ste D, Greensboro, NC 27406-3300.
- What is Stacey Nickerson's phone number?
- The practice phone number listed in the NPPES registry for Stacey Nickerson is (336) 588-8268.
- Is Stacey Nickerson's NPI active?
- Yes — Stacey Nickerson's NPI (1679239974) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.