STACIE CARRUTH (NPI# 1578920815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578920815 |
| Entity Type | Individual |
| Full Name | STACIE CARRUTH |
| Credential | CNP |
| Practice Address |
477 Cooper Rd Ste 200 Westerville OH 43081-8054 |
| Practice Telephone | 6144597676 |
| Practice Fax Number | 6144597681 |
| Mailing Telephone | 6144597676 |
| Mailing Fax Number | 6144597681 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA 18625-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
477 COOPER RD STE 200 |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43081-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154749539 | Michael Thomas Banning | Internal Medicine | 477 Cooper Rd Ste 200, Westerville, OH 43081-8054 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
| 1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
| 1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
| 1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
| 1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
| 1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| 1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
| 1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
| 1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
| Find all providers in zip 43081 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248845 | Jennifer Cross | Nurse Practitioner | 538 Bridgeford Dr, Westerville, OH 43081-5044 | 2019-11-04 |
| 1639462765 | Wisdom & Wellness | Nurse Practitioner | 659 Park Meadow Rd Ste J, Westerville, OH 43081-2879 | 2011-05-23 |
| 1669782553 | Steven K Bixler | Nurse Practitioner | 193 W Schrock Rd, Westerville, OH 43081-2890 | 2010-10-14 |
| 1659512671 | Amelia Marie Barson | Nurse Practitioner | 757 Brooksedge Plaza Dr, Westerville, OH 43081-4913 | 2009-03-21 |
| 1740217405 | Laurie S Mccloud | Nurse Practitioner | 85 Commerce Park Dr, Westerville, OH 43082-8348 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | WESTERVILLE |
| Zip Code | 43081 |
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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.