Active NPI
Lindsey Renee Stacks, RN
- Registered Nurse
- Cuyahoga Falls, OH
National Provider Identifier
1922060375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN408836
- Practice address
- 937 Pratt Ave
Cuyahoga Falls, OH 44221-3023 - Phone
- (330) 687-3522
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN408836 | OH | Primary |
Addresses
Primary practice location
937 Pratt Ave
Cuyahoga Falls, OH 44221-3023
Mailing address
937 Pratt Ave
Cuyahoga Falls, OH 44221-3023
Phone (330) 687-3522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2489070 | Medicaid | OH |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN408836 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462665600000",
"number": "1922060375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 PRATT AVE",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213023",
"telephone_number": "330-687-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 PRATT AVE",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213023",
"telephone_number": "330-687-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACKS",
"first_name": "LINDSEY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2016-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN408836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2489070",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.