KATIE MELISSA STANFORD


Address: 100 Hospital Dr, Athens, OH 45701-2301
Phone: 7405945000

KATIE MELISSA STANFORD (NPI# 1801454558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801454558
Entity Type Individual
Full Name KATIE MELISSA STANFORD
Credential MSN, PMHNP-BC
Practice Address 100 Hospital Dr
Athens
OH 45701-2301
Practice Telephone 7405945000
Practice Fax Number 7405925402
Mailing Telephone 7405945000
Mailing Fax Number 7405925402
Enumeration Date 2019-05-29
Last Update Date 2019-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2018090842 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH STATE OF OHIO NURSING LICENSE # 2018090842 01

Office Location

Street Address 100 HOSPITAL DR
City ATHENS
State OH
Zip Code 45701-2301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831732833 Mike Tenoglia Pharmacist 100 Hospital Dr, Athens, OH 45701-2301 2019-10-22
1841682861 Vickie Erdy Nurse Practitioner 100 Hospital Dr, Athens, OH 45701-2301 2015-02-27
1629322474 Jean Weekley Scott Psychologist 100 Hospital Dr, Athens, OH 45701-2301 2012-11-01
1477823920 Ian Abbott Watts Social Worker 100 Hospital Dr, Athens, OH 45701-2301 2011-12-30
1700018785 Ronald D. Gordineer Psychiatry & Neurology 100 Hospital Dr, Athens, OH 45701-2301 2009-08-10
1962501866 Maida Sierra Psychiatry & Neurology 100 Hospital Dr, Athens, OH 45701-2301 2006-09-21
1881704625 David Shusta Occupational Therapist 100 Hospital Dr, Athens, OH 45701-2301 2006-08-30
1326051756 James Howard Johnson Family Medicine 100 Hospital Dr, Athens, OH 45701-2301 2006-08-15
1609886993 Anthony R Derrico Psychiatry & Neurology 100 Hospital Dr, Athens, OH 45701-2301 2006-08-09
1114937414 Curtiss B Wright Psychiatry & Neurology 100 Hospital Dr, Athens, OH 45701-2301 2006-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912508797 Vince R Koping Pharmacist 929 East State St, Athens, OH 45701 2020-11-06
1164051926 Rachel Staker Student in an Organized Health Care Education/Training Program 86 Circle Drive, Suite 203, Athens, OH 45701 2020-04-03
1932736709 Maria Augusta Suarez-hamman Student in an Organized Health Care Education/Training Program 86 Columbus Circle, Suite 203, Athens, OH 45701 2020-03-23
1831746882 Justin Joseph Moakler Specialist/Technologist Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 2019-08-23
1275186991 Barry Brady Psychologist Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 2019-07-22
1821559691 Mary N Lee Student in an Organized Health Care Education/Training Program 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 2019-03-26
1275007692 Gabrielle Ruth Wesemeyer Student in an Organized Health Care Education/Training Program 6 South Congress Street, Athens, OH 45701 2019-01-18
1528551918 Bradford Thomas Meyers Psychologist 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 2018-06-11
1912499344 William Monopoli Student in an Organized Health Care Education/Training Program 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 2018-06-01
1477044113 59 Green Ltd. Taxi 14 Cook Drive, Athens, OH 45701 2018-05-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972791903 Angela Colleen Stokes Nurse Practitioner 1805 Ingleside Dr, Athens, TN 37303 2007-10-03
1093335853 Obianuju Okpala Nurse Practitioner 250 North Ave, Athens, GA 30601-2244 2020-04-22
1548896160 Albrynn Mental Health Nurse Practitioner 307 N Main St, Athens, PA 18810-1710 2020-03-15
1891330296 Robert Michael Gifford Nurse Practitioner 775 Sunset Dr, Athens, GA 30606-2211 2019-11-10
1356866982 James Marlin Williams Nurse Practitioner 100 Hospital Drive, Athens, OH 45701 2017-08-04
1669823134 Derrick Allen Grey Nurse Practitioner 90 Hospital Dr, Athens, OH 45701-2301 2016-06-27
1053669945 Emily Nicole Walker Nurse Practitioner 90 Hospital Dr, Athens, OH 45701-2301 2012-08-27
1649555947 Shelly Lee Brown Nurse Practitioner 90 Hospital Dr, Athens, OH 45701-2301 2011-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770184707 Joanna Sue Tricaso-torrence Nurse Practitioner 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 2020-11-05
1427658368 Greta Katherine Heckmann Nurse Practitioner 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 2020-10-29
1083213078 Smtia Sonali Carpenter Nurse Practitioner 9509 Knarwood Ct, Pickerington, OH 43147-8106 2020-10-20
1255939054 Jessica Kincaid Nurse Practitioner 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 2020-10-14
1801493531 Kasey Zink Nurse Practitioner 5934 Creek Rd Se, Washington Court House, OH 43160-8778 2020-10-06
1861099806 Taylor Buck Nurse Practitioner 158 Rock Creek Dr, Delaware, OH 43015-2260 2020-10-02
1598371296 Peace of Mind Therapeutics LLC Nurse Practitioner 5170 Pebble Brook Dr, Englewood, OH 45322-3632 2020-09-17
1003421827 Rachel Bird Nurse Practitioner 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 2020-09-09
1740894880 Angel M Davis Nurse Practitioner 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 2020-09-05
1548873680 Nicollette Pizzoferrato Nurse Practitioner 600 W Goodale St Apt 261, Columbus, OH 43215-1904 2020-08-28
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Competitor

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City ATHENS
Zip Code 45701

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Dataset Information

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.

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