MACKENZIE NICOLE STUTZMAN (NPI# 1356955181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356955181 |
| Entity Type | Individual |
| Full Name | MACKENZIE NICOLE STUTZMAN |
| Credential | CNP |
| Practice Address |
10506 Montgomery Rd Montgomery OH 45242-4487 |
| Mailing Address |
6858 Esther Ln Madeira OH 45243-3133 |
| Practice Telephone | 5138652227 |
| Practice Fax Number | 5138655552 |
| Mailing Telephone | 5136003004 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.0026900 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2565399 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10500 Montgomery Rd, Montgomery, OH 452424402 | 5138651111 |
| Street Address |
10506 MONTGOMERY RD |
| City | MONTGOMERY |
| State | OH |
| Zip Code | 45242-4487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487041356 | Janet Nicole Hollmann | Nurse Practitioner | 10506 Montgomery Rd, Montgomery, OH 45242-4487 | 2015-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902150089 | John Ryan Aldridge | Nurse Practitioner | 2055 E South Blvd Ste 601, Montgomery, AL 36116-2014 | 2012-10-29 |
| 1780970665 | Hiboombe M Haamankuli | Nurse Practitioner | 185 Mitylene Park Lane, Montgomery, AL 36117 | 2011-06-20 |
| 1407853880 | Nellda C Clark | Nurse Practitioner | 440 Taylor Rd, 3300, Montgomery, AL 36117-3588 | 2005-06-30 |
| 1891792412 | Darbi R Stevens | Nurse Practitioner | 2055 E South Blvd, 403, Montgomery, AL 36116-2001 | 2005-06-29 |
| 1699300145 | Kelli Bryant | Nurse Practitioner | 2055 E South Blvd, Montgomery, AL 36116-2001 | 2020-03-05 |
| 1518511617 | Melissa Dodd Martin Jones | Nurse Practitioner | 1440 Narrow Lane Pkwy, Montgomery, AL 36111-2654 | 2019-07-26 |
| 1568015949 | Leeann O Lafont | Nurse Practitioner | 1440 Narrow Lane Pkwy, Montgomery, AL 36111-2654 | 2019-07-24 |
| 1811468945 | Tammie Ruth Washington | Nurse Practitioner | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2018-12-16 |
| 1033640255 | Laura Crum | Nurse Practitioner | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2017-03-21 |
| 1487041356 | Janet Nicole Hollmann | Nurse Practitioner | 10506 Montgomery Rd, Montgomery, OH 45242-4487 | 2015-04-18 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 45242 |
Please comment or provide details below to improve the information on MACKENZIE NICOLE STUTZMAN.
| 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.