Kimberly Lynn Stacy, M.ED. SP. ED.
NPI 1649830506ActiveIndividual· Developmental Therapist· Taneytown, MD
Developmental Therapist (M.ED. SP. ED.) in Taneytown, Maryland, licensed in MD, with an NPI issued in June 2019.
Overview
| NPI | 1649830506 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED. SP. ED. |
| Sole proprietor | Yes |
| NPI issued | Jun 13, 2019 |
| Last updated in NPPES | Jun 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 3889 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|