Syreeta Renee Stake, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0034591 Issued in OH

Practice address

6319 Hidden Hollow Dr
Liberty TWP, OH 45011-0432

Phone

(513) 319-0272

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Housecalls LLCGroup PAC ID 6709024268, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Medical Housecalls LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1962745083
  Medicare reassignment Care Compare group NPD
• Supportive Healthcare Psych LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1275424228
  Medicare reassignment NPD
• Supportive Healthcare Skilled LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316838352
  Medicare reassignment NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1679384580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 HIDDEN HOLLOW DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450110432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 HIDDEN HOLLOW DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450110432",
            "telephone_number": "513-319-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKE",
        "first_name": "SYREETA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0034591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaura Smoqi
• Ziyad Smoqi
• Speech Connection LLC
• Kristin Baker Spitznagel, PA-C
• Mary Anne Sprague, LPC
• Mirella Angelia Stewart, M.A. CCC-SLP
• Madison Stone
• Joshua Stringer
• Meghan C Suess, DPT
• Jerri E Swift, RN

• Psychiatric/Mental Health Nurse Practitioner in Liberty TWP, OH
• Providers in Liberty TWP, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.