DERICA STAKE LPN
NPI 1770242570
Licensed Practical Nurse in Greenup, KY

Q: What is Derica Stake's NPI number?

The NPI number for Derica Stake is 1770242570. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Q: What is Derica Stake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derica Stake was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 09, 2021

120 BULL STRING LN, GREENUP, KY 41144(606) 922-8207 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derica Stake Lpn NPPES

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

DERICA STAKE LPN (NPI 1770242570) is an individual licensed practical nurse in Greenup, Kentucky, licensed in Ohio (156627) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1770242570

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDERICA STAKECredential: LPN

Location Address120 BULL STRING LNGreenup, KY 41144-6175

Mailing Address120 Bull String LnGreenup, KY 41144-6175

Phone(606) 922-8207

Sole ProprietorYes

Enumeration DateDecember 9, 2021

NPPES CertifiedDecember 9, 2021

✔ NPI 1770242570 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 · 156627

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.

120 BULL STRING LN, Greenup, KY 41144

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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 Derica Stake's NPI number?

The NPI number for Derica Stake is 1770242570. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Derica Stake located?

Derica Stake practices at 120 Bull String Ln, Greenup, KY 41144. The listed phone number is (606) 922-8207.

What is Derica Stake'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 Derica Stake was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.