MS. STACEY LYNN CORNELIUS (NPI# 1558880468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558880468 |
| Entity Type | Individual |
| Full Name | MS. STACEY LYNN CORNELIUS |
| Credential | LPN |
| Practice Address |
214 College Park Plz Johnstown PA 15904-2833 |
| Practice Telephone | 8142620025 |
| Practice Fax Number | 8142662880 |
| Mailing Telephone | 8142620025 |
| Mailing Fax Number | 8142662880 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN280250 | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225309636 | Stacey Cornelius | Behavioral Analyst | 22593 Three Notch Rd, California, MD 20619-3054 | 2012-01-17 |
| 1053578765 | Stacey Lynn Cornelius | Physical Therapist | 1109 S Schumaker Dr, Salisbury, MD 21804-9256 | 2008-05-20 |
| Street Address |
214 COLLEGE PARK PLZ |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573010 | Nulton Diagnostic & Treatment Center, PC | Community/Behavioral Health | 214 College Park Plz, Johnstown, PA 15904-2833 | 2006-03-24 |
| 1710519269 | Gemma Elizabeth Rusnak | Social Worker | 214 College Park Plz, Johnstown, PA 15904-2833 | 2020-02-12 |
| 1073070231 | Janelle Marie Flook | Behavior Technician | 214 College Park Plz, Johnstown, PA 15904-2833 | 2019-02-25 |
| 1790258986 | Sarah Lynette Fisher | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2019-01-10 |
| 1780152637 | Alisha Mae Blough | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2018-11-08 |
| 1255824686 | Jordan Louise Koontz | Physician Assistant | 214 College Park Plz, Johnstown, PA 15904-2833 | 2018-06-11 |
| 1770094336 | Kelley S Limerick-hand | Counselor | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-10-23 |
| 1174032064 | Natalie M Ramos | Licensed Practical Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-24 |
| 1386153526 | Tara Lucas | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-20 |
| 1710406079 | Sarah Loveridge | Social Worker | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174055826 | Danielle Mcduffee | Licensed Practical Nurse | 150 Webb Rd, Johnstown, NY 12095-3519 | 2017-03-31 |
| 1780938068 | Meredith Jean Hayner | Licensed Practical Nurse | 275 Sweet Rd, Johnstown, NY 12095-4741 | 2012-11-07 |
| 1366792012 | Tara Slone | Licensed Practical Nurse | 323 Kyber Run Cir, Johnstown, OH 43031-9616 | 2012-09-10 |
| 1245549476 | Kelly Marie Tausch | Licensed Practical Nurse | 333 Central Station Dr, Johnstown, OH 43031-9493 | 2010-10-05 |
| 1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
| 1295904480 | Tracey Ann Farquhar | Licensed Practical Nurse | 20 Gilbert St, Johnstown, NY 12095-2326 | 2008-02-21 |
| 1669435764 | Jami Ranee Canning | Licensed Practical Nurse | 361 Sunset Dr, Johnstown, OH 43031-1144 | 2006-04-10 |
| 1720605108 | Dorothy Marie Bowser | Licensed Practical Nurse | 401 Broad St, Johnstown, PA 15906-2745 | 2020-07-01 |
| 1255961991 | Maria Good | Licensed Practical Nurse | 321 Main St Ste 5h, Johnstown, PA 15901-1632 | 2020-01-22 |
| 1194387589 | Kris Ann Canfield | Licensed Practical Nurse | 2001 Bedford St, Johnstown, PA 15904-1096 | 2019-07-05 |
| Find all providers in JOHNSTOWN | ||||
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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.