Individual provider Active NPI

Stacey Allie Luzader, APRN-CNM

  • Midwife
  • Akron, OH
National Provider Identifier
1043048820
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
APRN.CNM.0019609 Issued in OH
Practice address
51 Park West Blvd Ste 200
Akron, OH 44320-4215
Phone
(330) 375-4844
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.424109 OH
Midwife 176B00000X APRN.CNM.0019609 OH Primary

Addresses

Primary practice location

51 Park West Blvd Ste 200
Akron, OH 44320-4215

Mailing address

8509 State Route 113 E
Berlin Heights, OH 44814-9440
Phone (440) 521-6827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001112 OH Practitioner - Certified Nurse Midwife (CNM) 9234661661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN.424109OHMDRegistered Nurse
APRN.CNM.0019609OHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Sep 9, 2024 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Sep 9, 2024 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

51 Park West Blvd
#200
Akron, OH 44320

1463 Canton Rd
Akron, OH 44312
Phone (330) 784-5406

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1860 State Rd
Ste D
Cuyahoga Fls, OH 44223
Phone (330) 923-3138

1700 Boettler Rd
Ste 225
Green, OH 44685
Phone (330) 899-9696

3780 Medina Rd
Ste 200
Medina, OH 44256
Phone (330) 376-7000

3825 Fishcreek Rd
Ste 200
Stow, OH 44224
Phone (234) 312-5656

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1043048820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 STATE ROUTE 113 E",
            "city": "BERLIN HEIGHTS",
            "state": "OH",
            "postal_code": "448149440",
            "telephone_number": "440-521-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PARK WEST BLVD STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204215",
            "telephone_number": "330-375-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZADER",
        "first_name": "STACEY",
        "middle_name": "ALLIE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.424109",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.