Individual provider Active NPI

Stacey Drahuschak, CNP

  • Women's Health Nurse Practitioner
  • Mayfield Heights, OH
National Provider Identifier
1447652318
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
16518NP Issued in OH
Practice address
6770 Mayfield Road
Mayfield Heights, OH 44124-2299
Phone
(440) 312-2229
Fax
(440) 312-7725
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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 RN327805 OH
Women's Health Nurse Practitioner 363LW0102X 16518NP OH Primary

Addresses

Primary practice location

6770 Mayfield Road
Mayfield Heights, OH 44124-2299

Mailing address

6770 Mayfield Road
Mayfield Heights, OH 44124
Phone (440) 312-2229

Other identifiers 1

IdentifierTypeStateIssuer
0110951MedicaidOH

Other names 1

  • Stacey Bratsch Former name

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)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN327805OHMDRegistered Nurse
16518NPOHMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1447652318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD ROAD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-312-2229",
            "fax_number": "440-312-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD ROAD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-312-2229",
            "fax_number": "440-312-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAHUSCHAK",
        "first_name": "STACEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN327805",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "16518NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110951",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BRATSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.