STACEY ANTLE (NPI# 1336709799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336709799 |
| Entity Type | Individual |
| Full Name | STACEY ANTLE |
| Credential | APRN |
| Practice Address |
14 Sandalwood Dr Newark OH 43055-9233 |
| Mailing Address |
363 Redwood Dr Newark OH 43055-7533 |
| Practice Telephone | 7407888850 |
| Mailing Telephone | 8178797301 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.024830 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14 SANDALWOOD DR |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-9233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548458565 | Linda Sue Nazeck | Social Worker | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2007-10-04 |
| 1538779665 | Kaitlyn Hall | Case Manager/Care Coordinator | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2020-08-04 |
| 1942832597 | Janet M Lemert | Registered Nurse | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2020-02-11 |
| 1982256848 | Courtney Collins | Counselor | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2019-07-11 |
| 1396219481 | Meredith Kennedy | Counselor | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2019-01-11 |
| 1912474644 | Kathy Romano | Case Manager/Care Coordinator | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2018-10-31 |
| 1922573807 | James Armes | Case Manager/Care Coordinator | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2018-10-08 |
| 1942792114 | Angelina Osborne | Counselor | 14 Sandalwood Dr, Newark, OH 43055 | 2018-06-04 |
| 1396242475 | Renae Hersman | Case Manager/Care Coordinator | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2018-04-06 |
| 1821599002 | Tarasa Lynnae Rauch | Specialist | 14 Sandalwood Dr, Newark, OH 43055-9233 | 2018-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| 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 |
|---|---|---|---|---|
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1184110165 | Kazeem Alao Olajide | Nurse Practitioner | 735 S 12th St, Newark, NJ 07103-1740 | 2018-07-02 |
| 1629454533 | Kolawole Adeoti | Nurse Practitioner | 24 Holland St, Newark, NJ 07103-2011 | 2015-08-03 |
| 1538590880 | Alice Agecha | Nurse Practitioner | Rutgers Behavioral Health Care, 183 South Orange Avenue, Newark, NJ 07103 | 2013-12-11 |
| 1871821322 | Bradley Stanford Why | Nurse Practitioner | 1423 Capitol Trail Drummond Plaza Office Park, Building 1, Suite 1107, Newark, DE 19707 | 2009-11-20 |
| 1043346448 | Maureen Terese Ambinder-knice | Nurse Practitioner | 260 Broadway Fl 2, Newark, NJ 07104-3906 | 2007-02-27 |
| 1447277207 | Cindy L Cunningham | Nurse Practitioner | 910 S Chapel St Ste 102, Newark, DE 19713 | 2006-07-17 |
| 1447859681 | Emily Gorrin | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-20 |
| 1619586195 | Adelle Keller | Nurse Practitioner | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-30 |
| 1063020857 | Positive Impact Behavioral Health Services | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103-0710 | 2020-07-17 |
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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.