STACY MEITLER (NPI# 1205297876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205297876 |
| Entity Type | Individual |
| Full Name | STACY MEITLER |
| Practice Address |
36123 Schoolcraft Rd Livonia MI 48150 |
| Mailing Address |
2205 Jolly Rd Ste B Okemos MI 48864-3983 |
| Practice Telephone | 7347936140 |
| Practice Fax Number | 7344020254 |
| Mailing Telephone | 5173474085 |
| Mailing Fax Number | 5173474170 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704235508 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1205297876 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36123 Schoolcraft Rd, Livonia, MI 481501216 | 7347936140 | 7344020254 |
| Street Address |
36123 SCHOOLCRAFT RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789055 | Gina Marie D'ambrosio | Internal Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2005-06-02 |
| 1346805769 | Von Deneb Vitto | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2019-05-01 |
| 1013403302 | Dione Amber Wright | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2018-07-10 |
| 1285181065 | Katherine M. Crampton | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150 | 2016-09-08 |
| 1376906305 | Roger Fox | Respiratory Therapist, Certified | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-29 |
| 1558723528 | Inpatient Consultants of Michigan, P.C. | Family Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-28 |
| 1619339686 | Inpatient Consultants of Ohio, PC | Family Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-28 |
| 1174999213 | Dawn Elizabeth Pangrazzi | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2015-08-12 |
| 1871978486 | Meredith Benesch | Massage Therapist | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2015-07-24 |
| 1043692932 | Jamie Meyer | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155762 | Mallory Rose Milavec | Nurse Practitioner | 14555 Levan Rd Ste 311, Livonia, MI 48154-5085 | 2018-12-17 |
| 1659827376 | Jennifer Bullard | Nurse Practitioner | 28508 Sunnydale Rd, Livonia, MI 48154 | 2016-09-01 |
| 1093183006 | Cheryl L Vandewege | Nurse Practitioner | 14555 Levan Rd Ste 112, Livonia, MI 48154-5041 | 2015-09-08 |
| 1861631921 | Angela Ransom | Nurse Practitioner | 14555 Levan Rd Ste 116, St. Mary's Mercy - Livonia, Livonia, MI 48154-5085 | 2009-02-13 |
| 1396856118 | Heidi Good | Nurse Practitioner | 28701plymouth Rd, Livonia, MI 48150 | 2006-08-31 |
| 1639287790 | Judith R Warren | Nurse Practitioner | 28550 Five Mile Road, Livonia, MI 48154 | 2006-08-29 |
| 1699884296 | Rosanne Terranova Seiler | Nurse Practitioner | 29270 Morlock Street, Livonia, MI 48152 | 2006-08-29 |
| 1770565632 | Catherine M Nichols | Nurse Practitioner | 36600 Schoolcraft Rd, Livonia, MI 48150-1176 | 2005-11-16 |
| 1255932463 | Hozefa Ezzi | Nurse Practitioner | 37595 7 Mile Rd, Livonia, MI 48152-1003 | 2020-11-04 |
| 1093353773 | Robert P Krupp | Nurse Practitioner | 14555 Levan Rd Ste 112, Livonia, MI 48154-5041 | 2019-12-12 |
| Find all providers in LIVONIA | ||||
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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.