Individual provider Active NPI

Michaela Constance Devine Stuckey

  • Case Manager/Care Coordinator
  • Cincinnati, OH
National Provider Identifier
1376119487
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
8075 Reading Rd Ste 201
Cincinnati, OH 45237-1415
Phone
(513) 978-1451
NPI assigned
May 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

8075 Reading Rd Ste 201
Cincinnati, OH 45237-1415

Mailing address

8900 Eagleview Dr Apt 6
West Chester, OH 45069-6700
Phone (513) 212-7587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1376119487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 EAGLEVIEW DR APT 6",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696700",
            "telephone_number": "513-212-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 READING RD STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452371415",
            "telephone_number": "513-978-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "MICHAELA",
        "middle_name": "CONSTANCE DEVINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; 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.