1. Home
  2. Directory
  3. Ohio
  4. Wauseon
  5. Preferred Provider Organization
  6. NPI Profile

BRENDA K STICKLEY
NPI 1114520046
Preferred Provider Organization in Wauseon, OH

Active since November 22, 2020
610 E CHESTNUT ST, WAUSEON, OH 43567(419) 357-9292 Get Directions Write a Review

NPPES record last updated: November 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda K Stickley NPPES

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

BRENDA K STICKLEY (NPI 1114520046) is an individual preferred provider organization provider in Wauseon, Ohio, licensed in Ohio (2695463) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1114520046
Entity TypeIndividualFemale
Primary Taxonomy305R00000X
Provider Legal NameBRENDA K STICKLEY
Location Address610 E CHESTNUT STWauseon, OH 43567-1463
Mailing Address610 E Chestnut StWauseon, OH 43567-1463 · (419) 357-9292
Phone(419) 357-9292
Sole ProprietorYes
Enumeration DateNovember 22, 2020
NPPES CertifiedNovember 22, 2020
✔ NPI 1114520046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in OH · 2695463
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
610 E CHESTNUT ST, Wauseon, OH 43567
Open in Google Maps ↗

Other Identifiers 2

Medicaid0180383OH
Medicaid2695463OH

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 Brenda Stickley's NPI number?

The NPI number for Brenda Stickley is 1114520046. It was assigned to this individual provider in the NPPES registry on November 22, 2020.

Where is Brenda Stickley located?

Brenda Stickley practices at 610 E Chestnut St, Wauseon, OH 43567. The listed phone number is (419) 357-9292.

What is Brenda Stickley's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Brenda Stickley was last updated on November 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.