LISA RENEE STALEY (NPI# 1649719816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649719816 |
| Entity Type | Individual |
| Full Name | LISA RENEE STALEY |
| Other Name | LISA RENEE LEE |
| Credential | NP |
| Practice Address |
800 W Main St Coldwater OH 45828-1613 |
| Mailing Address |
6435 W Jefferson Blvd Fort Wayne IN 46804-6203 |
| Practice Telephone | 2603444035 |
| Practice Fax Number | 2609699272 |
| Mailing Telephone | 2603444035 |
| Mailing Fax Number | 2609699272 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.020584 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285803965 | Lisa Sherice Staley | Speech-Language Pathologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-26 |
| Street Address |
800 W MAIN ST |
| City | COLDWATER |
| State | OH |
| Zip Code | 45828-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453939 | Jeanette Wente | Speech-Language Pathologist | 800 W Main St, Coldwater, OH 45828-1613 | 2019-08-23 |
| 1982160065 | Brittany Ann Homan | Physician Assistant | 800 W Main St, Coldwater, OH 45828-1613 | 2019-02-14 |
| 1699259796 | Kayla Dorsten | Occupational Therapist | 800 W Main St, Coldwater, OH 45828-1613 | 2018-09-24 |
| 1922528793 | Jennifer Michelle Cohen | Clinical Nurse Specialist | 800 W Main St, Coldwater, OH 45828-1613 | 2017-06-22 |
| 1609320548 | Kelsey Homan | Occupational Therapy Assistant | 800 W Main St, Coldwater, OH 45828-1613 | 2016-08-09 |
| 1154774123 | Michelle Imwalle | Occupational Therapist | 800 W Main St, Coldwater, OH 45828-1613 | 2016-07-14 |
| 1659732915 | Karen Heckman | Physical Therapist | 800 W Main St, Coldwater, OH 45828-1613 | 2016-03-15 |
| 1043670557 | Amy Bruggeman | Physical Therapist | 800 W Main St, Coldwater, OH 45828-1613 | 2016-02-25 |
| 1720447436 | Kelly Bailey | Physical Therapist | 800 W Main St, Coldwater, OH 45828-1613 | 2016-02-23 |
| 1851750640 | Kathryn Burke | Occupational Therapist | 800 W Main St, Coldwater, OH 45828-1613 | 2016-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982757324 | Kevin Thomas Hanzel | Podiatrist | 103 S Market St, Coldwater, OH 45828 | 2007-01-19 |
| 1225126196 | Benjamin Joseph Wenning | Dentist | 750 W Main St, Coldwater, OH 45828-0068 | 2006-10-10 |
| 1922196898 | Michael Joseph Bruns | Dentist | 750 W Main St, Coldwater, OH 45828-0068 | 2006-10-10 |
| 1598386880 | Adam J Homan | Physician Assistant | 202 Briarwood Dr, Coldwater, OH 45828-1001 | 2020-04-28 |
| 1811352958 | Tiffany Rutschilling | Specialist/Technologist | 102 N Woodview Dr, Coldwater, OH 45828-1031 | 2015-12-16 |
| 1316256613 | Julie E Stammen | Physical Therapy Assistant | 806 Opal Dr, Coldwater, OH 45828-1058 | 2010-10-04 |
| 1306931852 | Paul Henry Langenkamp | Emergency Medicine | 1104 Ruby Ln, Coldwater, OH 45828-1082 | 2006-10-03 |
| 1952314015 | Valerie Blasingame | Chiropractor | 201 N Mill St, Coldwater, OH 45828-1219 | 2006-08-13 |
| 1730360777 | Coldwater Chiropractic Clinic Inc. | Chiropractor | 201 N Mill St, Coldwater, OH 45828-1219 | 2007-11-19 |
| 1528078706 | Schwietermans Drug Store Inc | Pharmacy | 404 W North St, Coldwater, OH 45828-1230 | 2006-08-09 |
| Find all providers in zip 45828 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523590 | Natalie H Barker | Nurse Practitioner | 556 Hagen Rd, Coldwater, MS 38618-9100 | 2020-03-13 |
| 1922590512 | Dawn Renae Fox | Nurse Practitioner | 375 N Willowbrook Rd, Coldwater, MI 49036-8847 | 2018-05-31 |
| 1376066605 | Cara Christine Klein | Nurse Practitioner | 605 W Chicago Rd, Coldwater, MI 49036-8400 | 2017-07-19 |
| 1487968103 | Anthony Newson | Nurse Practitioner | 643 W Service Dr, Coldwater, MS 38618-3822 | 2010-08-05 |
| 1548589120 | Brenda J. Hood | Nurse Practitioner | 1557 Peavine Rd, Coldwater, MS 38618-4152 | 2010-05-22 |
| 1114957545 | Melanie Sue Dunn | Nurse Practitioner | 301 S Washington, Coldwater, KS 67029 | 2006-07-03 |
| 1073138731 | Bridget Geier | Nurse Practitioner | 830 W Main St Ste 3, Coldwater, OH 45828-1657 | 2020-06-09 |
| 1164051710 | Jamie Lynn Nutt | Nurse Practitioner | 830 W Main St, Coldwater, OH 45828-1657 | 2020-04-06 |
| 1346874609 | Emily Elizabeth Wasson | Nurse Practitioner | 643 W Service Dr, Coldwater, MS 38618-3822 | 2020-02-26 |
| 1487286688 | Elizabeth L Mathewson | Nurse Practitioner | 605 W Chicago Rd, Coldwater, MI 49036-8400 | 2020-02-06 |
| Find all providers in COLDWATER | ||||
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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.