IndividualActive
Stacy Ettinger, CPNP
NPI 1932438751 · Pediatric Nurse Practitioner · Dallas, TX
Provider details
- NPI number
- 1932438751
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 696355 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1935 Medical District Dr
Center for Cancer and Blood Disorders
Dallas, TX 75235-7701
Phone: (214) 456-3214
Street-level locationGet directions
Mailing address
3019 Thomas Ave Apt 1402
Dallas, TX 75204-2814
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2010-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.