MISTI D. STAGGERS (NPI# 1003005034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003005034 |
| Entity Type | Individual |
| Full Name | MISTI D. STAGGERS |
| Credential | CNP |
| Practice Address |
120 Mcmillen Dr Newark OH 43055-1809 |
| Practice Telephone | 7403487935 |
| Practice Fax Number | 7403487936 |
| Mailing Telephone | 7403487935 |
| Mailing Fax Number | 7403487936 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
NP07950 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 MCMILLEN DR |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017860 | Mark Mitchell | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055-1809 | 2005-07-14 |
| 1568857746 | Nishi Patel | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055 | 2015-04-03 |
| 1588007017 | Nina Pola Hourmouzis | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055 | 2013-04-15 |
| 1871813691 | Even Fengyuan Wang | Psychiatry & Neurology | 120 Mcmillen Dr, Newark, OH 43055-1809 | 2010-06-03 |
| 1174782775 | Daria J Hopkins | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055-1809 | 2008-06-09 |
| 1730109166 | Licking Memorial Professional Corp | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055-1809 | 2006-07-20 |
| 1649290073 | Licking Memorial Professional Corp. | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055-1809 | 2006-07-20 |
| 1740289941 | Gerald Ehrsam | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055-1809 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692247 | Denise L Lyons | Clinical Nurse Specialist | 475 Ogletown-stanton Road 6a43, Newark, DE 19718-0001 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701933 | Jared Andrew Mort | Clinical Nurse Specialist | 2792 Rhett Dr, Beavercreek, OH 45434-6259 | 2019-10-17 |
| 1336555069 | Kelly Dion | Clinical Nurse Specialist | 4110 Warrensville Center Road, Warrensville Heights, OH 44122 | 2014-07-02 |
| 1093955072 | Kathleen Ellen Meyer | Clinical Nurse Specialist | 3696 Beverly Hills Dr, Rocky River, OH 44116-3745 | 2009-03-03 |
| 1619094182 | Sue E. Moore | Clinical Nurse Specialist | 270 S Grant Ave, Columbus, OH 43215-5334 | 2007-03-22 |
| 1225017114 | Kathleen A. Ondus | Clinical Nurse Specialist | 1130 Tower Blvd Ste B, Lorain, OH 44052-5200 | 2006-01-10 |
| 1457909624 | Mckenzie Givhan Mason | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2711 | 2019-08-29 |
| 1073165999 | Kayla Marie Little | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-11 |
| 1295202026 | Kathleen Bolton | Clinical Nurse Specialist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2018-10-30 |
| 1497238638 | Karen N Meade | Clinical Nurse Specialist | 460 W 10th Ave Fl 20, Columbus, OH 43210-1240 | 2018-09-13 |
| 1396244687 | Holly Jo Long | Clinical Nurse Specialist | 8087 Washington Village Dr Ste 120, Dayton, OH 45458-1873 | 2018-02-02 |
| 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.