Leberliza Stalcup, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.434933 Issued in OH

Practice address

5458 Fulton Rd, Canton Ohio 44718
Suite B
Canton, OH 44718

Phone

(330) 465-4987

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• Waymaker Homecare LLC

  • Home Health Agency
  • Canton, OH
  • NPI 1659134617
  NPD Authorized official
• Waymaker Medstaff LLC

  • Nursing Care Agency
  • Canton, OH
  • NPI 1770124349
  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1093356669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "GREEN",
            "state": "OH",
            "postal_code": "442320765",
            "telephone_number": "330-212-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 FULTON RD, CANTON OHIO 44718",
            "address_2": "SUITE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-465-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALCUP",
        "first_name": "LEBERLIZA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.434933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lois Stackhouse, PEER SUPPORT
• Shelly Renee Stafford, STNA
• Samantha Ray Stage
• Danijela M Stahr, LPCC-S
• Jenna Staikoff, AA
• Andrew P Stalker, MD
• Kristi K. Stalker, O.D.
• Paige Stamco
• Kendrick Keymen Stanford
• Lisa Stanford

• Registered Nurse in Canton, OH
• Providers in Canton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.