IndividualActive
Charlie Stacy
NPI 1013206374 · Licensed Practical Nurse · Rootstown, OH
Charlie Stacy is a Licensed Practical Nurse provider in Rootstown, OH (NPI 1013206374).
Provider details
- NPI number
- 1013206374
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PN 142404 (OH)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4014 Bower Rd
Rootstown, OH 44272-9231
Phone: (330) 325-7636
Street-level locationGet directions
Mailing address
4014 Bower Rd
Rootstown, OH 44272-9231
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2011-04-06
Frequently asked questions
- What is Charlie Stacy's NPI number?
- Charlie Stacy's National Provider Identifier (NPI) is 1013206374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charlie Stacy's specialty?
- Charlie Stacy is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Charlie Stacy located?
- Charlie Stacy's practice location on file with NPPES is 4014 Bower Rd, Rootstown, OH 44272-9231.
- What is Charlie Stacy's phone number?
- The practice phone number listed in the NPPES registry for Charlie Stacy is (330) 325-7636.
- Is Charlie Stacy's NPI active?
- Yes — Charlie Stacy's NPI (1013206374) is active in the NPPES registry as of the last update on 2011-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.