STACEY JO DELMARK (NPI# 1588170443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588170443 |
| Entity Type | Individual |
| Full Name | STACEY JO DELMARK |
| Credential | RN |
| Practice Address |
677 E Main St Ste A Centreville MI 49032-8525 |
| Mailing Address |
132 S Monroe St Sturgis MI 49091-1729 |
| Practice Telephone | 2694671000 |
| Mailing Telephone | 2692210681 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704330246 | MI | Nursing Service Providers |
| Street Address |
677 E MAIN ST STE A |
| City | CENTREVILLE |
| State | MI |
| Zip Code | 49032-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438483 | Community Mental Health Services of St Joseph County | Clinic/Center | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2005-09-23 |
| 1750917472 | Betsy Jean Wright | Peer Specialist | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2020-03-13 |
| 1235781121 | Holly Jean Lago | Social Worker | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2019-07-11 |
| 1174010649 | Jodi Anne Shortridge | Social Worker | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2018-04-19 |
| 1174024467 | Kendra Lynn Burch | Community Health Worker | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2018-02-22 |
| 1750895009 | Amy Jo Kern | Peer Specialist | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2017-11-24 |
| 1831648286 | Kristen Schmitt | Community Health Worker | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2016-09-27 |
| 1194186742 | Clark Fries | Peer Specialist | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2016-03-10 |
| 1366801342 | Kristi Merrills | Social Worker | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2016-02-18 |
| 1336515279 | Tara Lee Smith | Social Worker | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2015-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901815 | Bridge Healthcare Pharmacy LLC | Pharmacy | 658 E. Main St, Suite 1, Centreville, MI 49032 | 2017-06-09 |
| 1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
| 1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
| 1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
| 1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
| 1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
| 1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| Find all providers in zip 49032 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845395 | Donna Marie Shaffer | Registered Nurse | 6214 Secret Hollow Ln, Centreville, VA 20120-1123 | 2020-09-14 |
| 1366080152 | Ashleigh Clingenpeel | Registered Nurse | 6918 Sharpsburg Dr, Centreville, VA 20121-2599 | 2019-12-12 |
| 1598264533 | Ashley Moran Kinnally | Registered Nurse | 160 Coursevall Dr, Centreville, MD 21617-1824 | 2018-02-05 |
| 1033498878 | Margaret D Conner | Registered Nurse | 6236 Ridge Pond Rd, Apt G, Centreville, VA 20121-4080 | 2011-08-10 |
| 1598051864 | Karen Brown | Registered Nurse | 5613 Rowena Dr, Centreville, VA 20120-1425 | 2011-06-24 |
| 1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
| 1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
| 1083939151 | Yvonne Marie Simon | Registered Nurse | 14400 Tracy Schar Ln, Centreville, VA 20121-2587 | 2010-04-01 |
| 1538200829 | Joslynn Marie Newburry | Registered Nurse | 677a E. Main St., Centreville, MI 49032-8524 | 2007-02-09 |
| 1649266784 | Kristine A Kirsch | Registered Nurse | 677 E. Main St., Suite A, Centreville, MI 49032 | 2005-09-23 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 49032 |
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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.