STACEY L O'HARA (NPI# 1275788069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275788069 |
Entity Type | Individual |
Full Name | STACEY L O'HARA |
Credential | CRNP |
Practice Address |
802 W Drake Rd Ste 101 Fort Collins CO 80526-5567 |
Practice Telephone | 9704946449 |
Mailing Telephone | 9704946449 |
Enumeration Date | 2008-11-21 |
Last Update Date | 2016-01-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN.0991431-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP008865 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
802 W DRAKE RD STE 101 |
City | FORT COLLINS |
State | CO |
Zip Code | 80526-5567 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861936544 | Laura Garzio | Nurse Practitioner | 802 W Drake Rd Ste 101, Fort Collins, CO 80526-5567 | 2016-12-14 |
1730637463 | Elizabeth Longshore | Nurse Practitioner | 802 W Drake Rd Ste 101, Fort Collins, CO 80526-5567 | 2016-09-11 |
1548698400 | Dana I Mcaninch | Nurse Practitioner | 802 W Drake Rd Ste 101, Fort Collins, CO 80526-5567 | 2013-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
Find all providers in zip 80526 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912568866 | Stephanie Anne Martin | Nurse Practitioner | 4700 Lady Moon Dr, Fort Collins, CO 80528-4426 | 2019-06-21 |
1225402423 | Stephanie Leach | Nurse Practitioner | 1313 Riverside Ave, Fort Collins, CO 80524-4352 | 2015-11-25 |
1326457557 | Russell D Jones | Nurse Practitioner | 1025 Pennock Pl, Suite 121, Fort Collins, CO 80524-3257 | 2014-08-13 |
1679878409 | Amber Marie Vance | Nurse Practitioner | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2011-01-26 |
1336441021 | Kate C Odenwald | Nurse Practitioner | 1080 E Elizabeth St, Fort Collins, CO 80524-3953 | 2010-12-01 |
1689988529 | Jennifer Ann Wheeler | Nurse Practitioner | 2121 E Harmony Rd, Ste 100, Fort Collins, CO 80528-3400 | 2010-08-03 |
1073585279 | Angela K Burns | Nurse Practitioner | 2121 E Harmony Rd, Suite 361, Fort Collins, CO 80528-3400 | 2006-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992176 | Misty Thomas | Nurse Practitioner | 50059 County Road 15, Wellington, CO 80549-1761 | 2020-11-03 |
1831799477 | Christopher Todd Hassinger | Nurse Practitioner | 3237 Osceola St, Denver, CO 80212-1741 | 2020-10-30 |
1225640113 | Melissa Diane Garth | Nurse Practitioner | 11912 Eudora Dr, Thornton, CO 80233-6406 | 2020-08-20 |
1568074672 | Arthur E Ilharreguy | Nurse Practitioner | 5565 Royal Pine St, Brighton, CO 80601-5370 | 2020-08-19 |
1154932481 | Leah Evans | Nurse Practitioner | 310 S Miller St, Lakewood, CO 80226-2659 | 2020-08-11 |
1982214136 | John Middleton Lariviere | Nurse Practitioner | 1375 Trenton St, Denver, CO 80220-3330 | 2020-08-03 |
1730797127 | Anne Elizabeth Kintop | Nurse Practitioner | 723 Steele St, Denver, CO 80206-3942 | 2020-07-21 |
1568070571 | Harrison Charles Lowell | Nurse Practitioner | 7756 S Flanders St, Centennial, CO 80016-1948 | 2020-07-15 |
1942824537 | Kimberly A Jones | Nurse Practitioner | 3210 N Franklin St, Denver, CO 80205-3903 | 2020-05-30 |
1346862893 | Camella Gullick | Nurse Practitioner | 590 Grey Squirrel Way, Franktown, CO 80116-8762 | 2020-05-07 |
Find all providers with the same taxonomy |
City | FORT COLLINS |
Zip Code | 80526 |
Please comment or provide details below to improve the information on STACEY L O'HARA.
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.