STACEY L O'HARA


Address: 802 W Drake Rd Ste 101, Fort Collins, CO 80526-5567
Phone: 9704946449

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 802 W DRAKE RD STE 101
City FORT COLLINS
State CO
Zip Code 80526-5567

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT COLLINS
Zip Code 80526

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Dataset Information

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.

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