STACEY CHILDRESS (NPI# 1083018030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083018030 |
| Entity Type | Individual |
| Full Name | STACEY CHILDRESS |
| Practice Address |
30 E Apple St Ste 3300 Dayton OH 45409-2939 |
| Practice Telephone | 9372088394 |
| Practice Fax Number | 9372088388 |
| Mailing Telephone | 9372088394 |
| Mailing Fax Number | 9372088388 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2016-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA18795NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024172139 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 E APPLE ST STE 3300 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295086 | Pramila J Bharwani | Physician Assistant | 30 E Apple St, Suite 5253, Dayton, OH 45409-2939 | 2005-06-15 |
| 1790301836 | Linda M Gibson | Registered Nurse | 30 E Apple St, Dayton, OH 45409-2939 | 2020-06-24 |
| 1144874314 | Priscilla Ann Blevins | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2019-07-26 |
| 1700386877 | Anne Marie Flynn | Registered Nurse | 30 E Apple St, Suite 5254 A, Dayton, OH 45409 | 2018-02-15 |
| 1508376922 | Ashley Wang | Physician Assistant | 30 E Apple St, Dayton, OH 45409-2939 | 2017-10-11 |
| 1245769033 | Jessamine Sothard | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2017-06-06 |
| 1821524513 | Shanah Hammock | Nurse Practitioner | 30 E Apple St, #6250, Dayton, OH 45409-2939 | 2017-05-02 |
| 1467985283 | Fady Yousef Hijji | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-08 |
| 1902339187 | Maria Groh | Physician Assistant | 30 E Apple St, Suite 5254, Dayton, OH 45409-2939 | 2017-04-05 |
| 1336672443 | Thomas George Cheslik | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1669073052 | Brittany Ann Flynn | Nurse Practitioner | 2200 Miami Valley Dr, Dayton, OH 45459-4783 | 2020-11-03 |
| 1164064077 | Laura Cristina Schimmoeller | Nurse Practitioner | 4100 W 3rd St, Dayton, OH 45428-9000 | 2019-10-11 |
| 1689145013 | Ebenezer Akoi Asiedu | Nurse Practitioner | 725 S Ludlow St, Dayton, OH 45402-2610 | 2018-12-11 |
| 1952804437 | Sherry M Arnold | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-03-12 |
| 1740730159 | Karen Christian | Nurse Practitioner | 1520 S Main St Ste 3, Dayton, OH 45409-2643 | 2016-10-10 |
| 1023359106 | Anne Marie House | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-03-14 |
| 1366787962 | Karla Shearer | Nurse Practitioner | 40 N Main St, Suite 1360, Dayton, OH 45423-1021 | 2012-12-07 |
| 1427309202 | Hannah Marie Moore | Nurse Practitioner | 2132 E 3rd St, Dayton, OH 45403-1991 | 2012-09-20 |
| 1003182585 | David Lee Evers | Nurse Practitioner | 122 Wyoming St, Dayton, OH 45409-2731 | 2012-03-28 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.