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CHARLIE C STACY
NPI 1013206374
Licensed Practical Nurse in Rootstown, OH

Active since April 06, 2011
4014 BOWER RD, ROOTSTOWN, OH 44272(330) 325-7636 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charlie C Stacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLIE C STACY (NPI 1013206374) is an individual licensed practical nurse in Rootstown, Ohio, licensed in Ohio (PN 142404) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1013206374
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameCHARLIE C STACY
Location Address4014 BOWER RDRootstown, OH 44272-9231
Mailing Address4014 Bower RdRootstown, OH 44272-9231 · (330) 325-7636
Phone(330) 325-7636
Sole ProprietorYes
Enumeration DateApril 6, 2011
✔ NPI 1013206374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN 142404
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4014 BOWER RD, Rootstown, OH 44272
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlie Stacy's NPI number?

The NPI number for Charlie Stacy is 1013206374. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Charlie Stacy located?

Charlie Stacy practices at 4014 Bower Rd, Rootstown, OH 44272. The listed phone number is (330) 325-7636.

What is Charlie Stacy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Charlie Stacy was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.