MRS. STACEY DORNETTE (NPI# 1043523996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043523996 |
| Entity Type | Individual |
| Full Name | MRS. STACEY DORNETTE |
| Practice Address |
10500 Montgomery Rd Neonatology Cincinnati OH 45242-4402 |
| Practice Telephone | 5138624074 |
| Practice Fax Number | 5138624189 |
| Mailing Telephone | 5138624074 |
| Mailing Fax Number | 5138624189 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
APRN.CNP.11567 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10500 MONTGOMERY RD NEONATOLOGY |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45242-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647261 | Larissa Marie Kahle | Physician Assistant | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2005-05-24 |
| 1881221943 | Talia Kordahi | Student in an Organized Health Care Education/Training Program | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-03-26 |
| 1598392664 | Nathaniel Gastaldo | Student in an Organized Health Care Education/Training Program | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-03-26 |
| 1205460813 | Amanda Denise La Favers | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-02-24 |
| 1629600028 | Jonathan Woody | Emergency Medicine | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-02-04 |
| 1326687872 | Brandi Harris | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2020-01-02 |
| 1134767908 | Elizabeth Phillips | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2019-12-12 |
| 1104464825 | Megan Wilkins | Nurse Anesthetist, Certified Registered | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2019-12-12 |
| 1508400946 | Laura Rihm Miele | Nurse Practitioner | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2019-10-29 |
| 1508408329 | Alexander Christopher Gray | Pharmacist | 10500 Montgomery Rd, Cincinnati, OH 45242 | 2019-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184942047 | Dionni M Meek-silvers | Nurse Practitioner | 3333 Burnet Ave Ml 1013, Cincinnati, OH 45229-3026 | 2010-05-17 |
| 1073144796 | Amanda Brittany Tucker | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-01-31 |
| 1205378361 | Tara Wolfe | Nurse Practitioner | 3333 Burnet Ave, Ml 1013, Cincinnati, OH 45229-3026 | 2016-11-07 |
| 1235593716 | Jennifer Green | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2016-04-11 |
| 1578927265 | Melissa Yockey | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2016-04-08 |
| 1649639097 | Bruna De Jesus Andrade | Nurse Practitioner | 3333 Burnet Ave, Mlc 1013, Cincinnati, OH 45229-3026 | 2016-02-14 |
| 1427416999 | Katrina Rae Shanesy | Nurse Practitioner | 3333 Burnet Ave, Mlc 1013, Cincinnati, OH 45229-3026 | 2016-01-29 |
| 1003210329 | Erynne Hamilton | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2014-10-15 |
| 1720482268 | Stephanie Gronlund | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2014-10-13 |
| 1245662493 | April Elizabeth Vogel | Nurse Practitioner | 3333 Burnet Ave, Ml 1013, Cincinnati, OH 45229-3026 | 2013-07-30 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45242 |
Please comment or provide details below to improve the information on MRS. STACEY DORNETTE.
| 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.