STACIE TAYLOR (NPI# 1508264615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508264615 |
| Entity Type | Individual |
| Full Name | STACIE TAYLOR |
| Credential | NP-C |
| Practice Address |
7350 Industrial Park Blvd Mentor OH 44060-5318 |
| Mailing Address |
25938 Highland Rd Richmond Heights OH 44143-2703 |
| Practice Telephone | 2167329480 |
| Mailing Telephone | 2165330420 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
COA.16509-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
COA.16509-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619454428 | Stacie Karene Taylor | Physician Assistant | 446 Alta Rd Ste 6100, San Diego, CA 92158-0001 | 2018-07-24 |
| 1033660287 | Stacie Taylor | Developmental Therapist | 1810 Ozarka College Dr, Mountain View, AR 72560-6455 | 2016-10-21 |
| 1942303755 | Stacie L Taylor | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2006-09-07 |
| Street Address |
7350 INDUSTRIAL PARK BLVD |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487632253 | Sitarama Pochiraju | Internal Medicine | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2006-01-03 |
| 1528561883 | Deniece Stacey Parkinson | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2018-03-13 |
| 1043738149 | Maryann Christine Matthews | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060 | 2017-09-08 |
| 1780050179 | Reanna Cherie Francis | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2015-08-19 |
| 1801278510 | Lachille Rashid | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2015-06-18 |
| 1407256696 | Meghan Lou Ilg | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2014-08-26 |
| 1043628399 | Shari Lynn Chavis | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2014-07-31 |
| 1154769925 | Jasmine Johnson | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2013-06-13 |
| 1902165392 | Deepika D'cunha Burkardt | General Practice | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2012-05-07 |
| 1932472859 | Kristen R Ruthenberg | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2012-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528561883 | Deniece Stacey Parkinson | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2018-03-13 |
| 1043738149 | Maryann Christine Matthews | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756956 | Selena Bruck | Nurse Practitioner | 6230 Hidden Creek Dr, Lorain, OH 44053-4304 | 2020-09-28 |
| 1699382580 | Pamela Dawn Raines | Nurse Practitioner | 4311 Autumn Creek Dr, Springfield, OH 45504-5112 | 2020-09-25 |
| 1275149908 | Allied Onsite Healthcare, LLC | Nurse Practitioner | 5846 Marble Creek St, Dublin, OH 43016-6367 | 2020-09-18 |
| 1780298562 | Bridget Thomas | Nurse Practitioner | 6051 Alexa Ln, Sylvania, OH 43560-3607 | 2020-08-31 |
| 1043823164 | Holly Carol Ostendorf | Nurse Practitioner | 13461 Pearl Rd, Strongsville, OH 44136-3405 | 2020-08-28 |
| 1336759869 | Retha N Strickland | Nurse Practitioner | 10270 Snowflake Ln, Cincinnati, OH 45251-1248 | 2020-08-10 |
| 1841818242 | Your Priorit Heatlh Care | Nurse Practitioner | 1100 Eaton Ave, Hamilton, OH 45013-1403 | 2020-07-12 |
| 1972122513 | Angelina Wong | Nurse Practitioner | 2610 Talmadge Rd, Ottawa Hills, OH 43606-2334 | 2020-04-14 |
| 1316577372 | Jeremy Ford | Nurse Practitioner | 15609 Shirley Ave, Maple Heights, OH 44137-4608 | 2020-01-17 |
| 1134766520 | Anthony Williams | Nurse Practitioner | 4633 Stratford Ln, Columbus, OH 43232-6179 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
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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.