MRS. STACI S O'DELL (NPI# 1083688295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083688295 |
| Entity Type | Individual |
| Full Name | MRS. STACI S O'DELL |
| Credential | APNP |
| Practice Address |
Healthcare for The Homeless of Milwaukee, Inc 210 West Capitol Drive Milwaukee WI 53212 |
| Practice Telephone | 4147276320 |
| Practice Fax Number | 4147276321 |
| Mailing Telephone | 4147276320 |
| Mailing Fax Number | 4147276321 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
131460-030 | WI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3433-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0058230 | 05 |
| Street Address |
HEALTHCARE FOR THE HOMELESS OF MILWAUKEE, INC 210 WEST CAPITOL DRIVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1588292700 | Christopher Adam Schuman | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-01 |
| 1003442849 | Jurgita Gronkowski | Nurse Practitioner | 5000 W National Ave, Milwaukee, WI 53295-2247 | 2020-03-12 |
| 1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
| 1639723711 | Amanda Marie Olivas | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-07-28 |
| 1396219036 | Amy Heidenreich | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-01-16 |
| 1801376140 | Lisa Eileen Calabrese | Nurse Practitioner | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2018-08-16 |
| 1295247237 | Judy A Conti | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2017-10-31 |
| 1770008492 | Judith Ann Evenson | Nurse Practitioner | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-08-03 |
| Find all providers in MILWAUKEE | ||||
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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.