STACY ALLYN BRUBAKER (NPI# 1134640725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134640725 |
| Entity Type | Individual |
| Full Name | STACY ALLYN BRUBAKER |
| Practice Address |
2181 Ambleside Dr Cleveland OH 44106-4645 |
| Practice Telephone | 2167211234 |
| Mailing Telephone | 2167211234 |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2017-07-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
19071 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619047230 | Stacy Jo Brubaker | Social Worker | 140 South Holly Street, Medford, OR 97501 | 2006-11-09 |
| Street Address |
2181 AMBLESIDE DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533721 | Judson | Skilled Nursing Facility | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2005-07-27 |
| 1730661448 | Kelly A Romano | Speech-Language Pathologist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2018-08-30 |
| 1154826378 | Fpb Clinical Practice LLC | Clinic/Center | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2018-03-28 |
| 1942712955 | Samantha Josette Farrar | Physical Medicine & Rehabilitation | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2017-10-31 |
| 1730631540 | Matthew Delewski | Occupational Therapist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2016-10-27 |
| 1710332176 | Cassandra Dykin | Specialist/Technologist, Other | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2016-05-04 |
| 1144629775 | Gretchen Slater | Physical Therapy Assistant | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-20 |
| 1326447350 | Patricia A. White | Occupational Therapy Assistant | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-14 |
| 1598173668 | Alexandria Notaro | Occupational Therapist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-01 |
| 1487084505 | Genesis Rehab | Nursing Care | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2013-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592407 | Halyna V. Sul | Nurse Practitioner | 6770 Mayfield Rd Ste 425, Cleveland, OH 44124-2299 | 2017-08-02 |
| 1326122698 | Denise Marie Kresevic | Nurse Practitioner | 10710 East Blvd, Cleveland, OH 44106 | 2006-10-24 |
| 1700495181 | Elizabeth Ann Courtney Ramnytz | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-07-30 |
| 1124655295 | Emily Bulow | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-03-26 |
| 1982230470 | Chelsea Zeigler | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-17 |
| 1164062790 | Akisha Rochelle Burge | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-01-11 |
| 1427692029 | Darya Rybalko | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-11-06 |
| 1578111696 | Amanda Dawn Bovee | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2019-09-02 |
| 1932689718 | Keara E. Walsh | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2018-08-21 |
| 1477033918 | Susan Lacey Antonelli | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-08-15 |
| Find all providers in CLEVELAND | ||||
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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.