STAPLES HEALTH CLINIC, LLC (NPI# 1962867713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962867713 |
| Entity Type | Organization |
| Organization Name | STAPLES HEALTH CLINIC, LLC |
| Practice Address |
104 E Main St Auburn KY 42206-5106 |
| Mailing Address |
Po Box 66 Auburn KY 42206-0066 |
| Practice Telephone | 2704383474 |
| Mailing Telephone | 2704383474 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | MRS. STACIA STAPLES (OWNER) |
| Authorized Official Telephone | 2704383474 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3005699 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 E MAIN ST |
| City | AUBURN |
| State | KY |
| Zip Code | 42206-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851549422 | Stacia Ashley Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2008-09-08 |
| 1386751709 | James Marvin Staples | Nurse Practitioner | 104 E Main St, Auburn, KY 42206-5106 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881138428 | Kristina M Wimpee | Pharmacist | 134 Sugar Maple Drive, Suite A, Auburn, KY 42206 | 2016-12-16 |
| 1477955888 | Heartland Family Pharmacy LLC | Pharmacy | 134 Sugar Maple Dr, Suite A, Auburn, KY 42206 | 2014-09-17 |
| 1265740765 | Logan Physician Practice, LLC | Nurse Practitioner | 128 Sugar Maple Drive, Auburn, KY 42206 | 2010-09-17 |
| 1326194986 | Barry W Stahl | Dentist | 104 East Main Street, Auburn, KY 42206 | 2007-01-26 |
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| 1093169823 | Tara Jackson | Early Intervention Provider Agency | 104 G Corum Ln, Auburn, KY 42206-5000 | 2016-04-18 |
| 1164403564 | Bolster Health Care Group LLC | Skilled Nursing Facility | 139 Pearl St, Auburn, KY 42206-5121 | 2005-11-11 |
| 1013179969 | Cindy Pawley | Case Manager/Care Coordinator | 5210 Friendship Rd, Auburn, KY 42206-5201 | 2008-07-01 |
| 1063077519 | Amy Beth Canler | Early Intervention Provider Agency | 842 Rector Ave, Auburn, KY 42206-5219 | 2019-05-09 |
| 1902070915 | Barren River District Health Department | Public Health or Welfare | 221 College St, Auburn, KY 42206-5310 | 2008-04-22 |
| Find all providers in zip 42206 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935658 | Judith A Glover | Nurse Practitioner | 1101 Rock Elm Dr, Auburn, GA 30011-2393 | 2020-09-02 |
| 1568075190 | Carey Webster | Nurse Practitioner | 11775 Education St Ste 210, Auburn, CA 95602-2453 | 2020-08-24 |
| 1043860299 | Kimberly Danner | Nurse Practitioner | 507 Red Bud Ln, Auburn, IL 62615-9357 | 2019-09-18 |
| 1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1063987162 | Shadiyah S Tawwab | Nurse Practitioner | 1702 Catherine Ct Ste 1a, Auburn, AL 36830-5790 | 2018-10-04 |
| 1801370812 | Catherine Molly Kohl | Nurse Practitioner | 1702 Catherine Ct Ste A, Auburn, AL 36830-5755 | 2018-09-17 |
| 1518443258 | Kelly Elizabeth Cordon | Nurse Practitioner | 77 Nelson St Fl 3, Auburn, NY 13021-1944 | 2018-07-16 |
| 1750873329 | Claire Wakulyaka | Nurse Practitioner | 39 Bryn Mawr Ave, Auburn, MA 01501-1636 | 2018-05-30 |
| 1467963710 | Alissa Marie Dippolito | Nurse Practitioner | 77 Nelson St Ste 310, Auburn, NY 13021-1945 | 2017-10-13 |
| Find all providers in AUBURN | ||||
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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.