STACEY MICHELLE CALLISON (NPI# 1134744378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134744378 |
| Entity Type | Individual |
| Full Name | STACEY MICHELLE CALLISON |
| Credential | CNP |
| Practice Address |
9000 N Main St Englewood OH 45415-1180 |
| Mailing Address |
2325 Springmill Rd Kettering OH 45440-2503 |
| Practice Telephone | 9379913188 |
| Mailing Telephone | 9373449594 |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
CNP0026850 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9000 N MAIN ST |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45415-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824725 | Benjamin Deloss Mishler | Family Medicine | 9000 N Main St, Englewood, OH 45415-1180 | 2020-09-01 |
| 1992313431 | Chris Ticknor | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2020-07-21 |
| 1417576299 | Susan Marie Knapke | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1215556071 | Lindsay Nicole Schultz | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1306352216 | Thomas J Kroner | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-12-15 |
| 1730620709 | Gregory Sutton | Specialist/Technologist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-03-10 |
| 1598201584 | Janette E Dale | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415 | 2017-01-13 |
| 1124560016 | Amy Renee Letts | Nurse Practitioner | 9000 N Main St, Suite 305, Englewood, OH 45415-1180 | 2016-11-09 |
| 1679024475 | Anne Antalovich | Audiologist | 9000 N Main St, Suite 319, Englewood, OH 45415-1180 | 2016-10-18 |
| 1184172629 | Michael Deyhle | Physician Assistant | 9000 N Main St, Suite G-35, Englewood, OH 45415-1180 | 2016-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1740831080 | Michelle Renee Gayheart | Nurse Practitioner | 860 E Broad St Ste 1, Elyria, OH 44035-6542 | 2019-09-27 |
| 1558810648 | Britney Ann Iannantuono | Nurse Practitioner | 3535 Olentangy River Rd Ste 6300, Columbus, OH 43214-3908 | 2016-09-29 |
| 1225651029 | Stephanie Dawson | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-05-27 |
| 1821617903 | Kevin Barth | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-04-09 |
| 1811521248 | Amanda D Lott | Nurse Practitioner | 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 | 2020-02-25 |
| 1689228538 | Deja Lea Hillman | Nurse Practitioner | 1 Medical Center Dr, Middletown, OH 45005-2584 | 2019-07-30 |
| 1699328294 | Patricia Albano-seitz | Nurse Practitioner | 730 W Market St, Lima, OH 45801-4602 | 2019-07-23 |
| 1447803069 | Christian Daniel Brienik | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-07-23 |
| 1629637780 | Tyler Jacob Jones | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-06-11 |
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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.