STACEY WASEM (NPI# 1831724640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831724640 |
| Entity Type | Individual |
| Full Name | STACEY WASEM |
| Credential | APRN |
| Practice Address |
4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 |
| Practice Telephone | 3307544431 |
| Practice Fax Number | 3302448839 |
| Mailing Telephone | 3307544431 |
| Mailing Fax Number | 3302448839 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.026483 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4580 STEPHENS CIR NW STE 202 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636728 | Anna Margarita Lengyel | Internal Medicine | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2005-08-22 |
| 1902406119 | Ashley Marie Mcavinew | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-10-27 |
| 1609407170 | Julie White | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-02-03 |
| 1609407881 | Jennifer Jonell Mcclain | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-01-28 |
| 1730727215 | Julie Angel | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2019-12-16 |
| 1972155307 | Justin Thomas Lonca | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2019-07-16 |
| 1083192330 | Erin Lynn Metcalf | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2018-07-30 |
| 1427551225 | Beth Ann Griffith | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2018-03-18 |
| 1265934061 | Elizabeth Trent | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2018-03-07 |
| 1245601103 | Jacqueline Croston | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2015-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467989343 | Heidi Denise Papesh | Nurse Practitioner | 313 Stoney Hollow Rd, Canton, GA 30114-7245 | 2017-05-22 |
| 1396138541 | Terrance Duane Reed | Nurse Practitioner | 1465 Delancy Cir, Canton, MI 48188-8501 | 2015-03-12 |
| 1265575096 | Karen Lee Dick | Nurse Practitioner | 1 Del Pond Drive, Canton, MA 02120 | 2007-02-14 |
| 1609407881 | Jennifer Jonell Mcclain | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2020-01-28 |
| 1972155307 | Justin Thomas Lonca | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2019-07-16 |
| 1083192330 | Erin Lynn Metcalf | Nurse Practitioner | 4580 Stephens Cir Nw Ste 202, Canton, OH 44718-3645 | 2018-07-30 |
| 1457736621 | Kelly Melton | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2015-07-29 |
| 1063825537 | Christina Carpenter | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702-2165 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1649879032 | Danielle Wines | Nurse Practitioner | 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 | 2020-10-19 |
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1912516709 | Susan Marie Hessey | Nurse Practitioner | 4502 Satinwood Dr, Toledo, OH 43623-3350 | 2020-07-28 |
| 1518585728 | Diane Louise Lamb | Nurse Practitioner | 3163 Hook Waltz Rd E, Elida, OH 45807-9555 | 2020-07-14 |
| 1215553052 | Jennifer Cordray | Nurse Practitioner | 5452 Grace Dr, Mentor, OH 44060-1500 | 2020-06-17 |
| 1053943134 | Chunyan Mcelroy | Nurse Practitioner | 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 | 2020-02-06 |
| 1790324432 | Ashley Nicole Neely | Nurse Practitioner | 890 Oakwood Dr, Alliance, OH 44601-5435 | 2019-12-28 |
| 1710530357 | Christine Marie Hoover | Nurse Practitioner | 65 Community Rd Ste C, Tallmadge, OH 44278-2358 | 2019-07-23 |
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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.