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Active NPI 1770242570 Individual Practitioner Female Practitioner

Derica Stake , LPN

Licensed Practical Nurse • Greenup, KY

Professional Overview & Biography Verified Profile Summary

Derica Stake, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Greenup, KY. Practice services are available at 120 BULL STRING LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

120 Bull String Ln

Greenup, KY 411446175

Telephone 6069228207

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Greenup, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Greenup, KY (422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-09
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH 156627

An individual 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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2021

Registered at 120 BULL STRING LN, GREENUP, KY 411446175 (Tel: 6069228207)

📍
Updated Business Mailing Address December 09, 2021

Registered at 120 BULL STRING LN, GREENUP, KY 411446175

👤
Provider Name / Credentials Updated December 09, 2021

Recorded as DERICA STAKE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Licensed Practical Nurse (License #156627 in OH)

🟢
Initial NPI Registration & Enumeration December 09, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770242570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2021
Last Update: December 09, 2021
Sole Proprietor: Yes

Mailing Address

120 Bull String Ln

Greenup, KY 411446175

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.