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Active NPI 1477757086 Individual Practitioner Female Practitioner

Stacy Whiteside , RN MS CPNP

Nurse Practitioner - Pediatrics • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Stacy Whiteside, RN MS CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Columbus, OH. Practice services are available at 700 CHILDRENS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 Childrens Dr

Columbus, OH 432052664

Telephone 6147223254
Fax 6147224574
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
339 Specialists

Practicing in Columbus, OH (1102 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: 2026-02-20
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH APRN.CNP.06037

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License OH APRN.CNP.06037

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3028619 (OH)

Secondary Practice Locations

8930 Ohio River Rd

Wheelersburg, OH 456941922

Phone: 6147222000

6435 E Broad St

Columbus, OH 432131507

Phone: 6147222000

4439 State Route 159

Chillicothe, OH 456018207

Phone: 6147222000

536 S Trimble Rd

Mansfield, OH 449063418

Phone: 6147222000

5665 Venture Dr

Dublin, OH 430172159

Phone: 6147222000

7853 Pacer Dr

Delaware, OH 430157571

Phone: 6147222000

555 S 18th St

Columbus, OH 432052654

Phone: 6147222000

740 Adair Ave

Zanesville, OH 437012838

Phone: 6147222000

716 Adair Ave

Zanesville, OH 437012836

Phone: 6147222000

5675 Venture Dr

Dublin, OH 430172159

Phone: 6147222000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Suzanne Scott , CNP

Nurse Practitioner - Pediatrics

NPI 1023214673

Certified Nurse Practitioner

Faye Willen , RN, MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1053517953

Registered Nurse, Master of Science in Nursing, Certified Pediatric Nurse Practitioner

Diane Dornbusch , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1134323785

Registered Nurse, Certified Pediatric Nurse Practitioner

Jennifer Young , RN, MS, CPNP-AC

Nurse Practitioner - Pediatrics

NPI 1184897704

Registered Nurse, Master of Science, CPNPAC

Carla Hughes , CPNP

Nurse Practitioner - Pediatrics

NPI 1629259445

Certified Pediatric Nurse Practitioner

Micah Skeens , PNP

Nurse Practitioner - Pediatrics

NPI 1811194327

Pediatric Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Nurse Practitioner (License #APRN.CNP.06037 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2025

Nurse Practitioner (License #APRN.CNP.06037 in OH)

NPI Profile Active September 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2012

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147223254)

📍
Updated Business Mailing Address September 18, 2012

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147223254)

👤
Provider Name / Credentials Updated September 18, 2012

Recorded as STACY WHITESIDE, RN MS CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2012

Registered Nurse (License #RN248329 NP06037 in OH)

🟢
Initial NPI Registration & Enumeration June 14, 2007

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: 1477757086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2007
Last Update: February 20, 2026
Sole Proprietor: No

Mailing Address

700 Childrens Dr

Columbus, OH 432052664

Phone: 6147223254

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.