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Tabetha Staten, NP

Gerontology Nurse Practitioner in Green, OH · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104342138

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Registry record

Entity type Individual (Type 1)
Name Tabetha Staten
Credential NP
Sex Female
Practice address 1700 Boettler Rd Ste 100, Green, OH, 44685
Phone (330) 896-0009
Fax (330) 896-0032
Enumeration date Aug 22, 2017
Last updated in NPPES Jul 2, 2026

Taxonomy & licenses

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APRN.CNP.021511 (OH) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tabetha Staten?
The National Provider Identifier (NPI) for Tabetha Staten is 1104342138, a Type 1 (individual) record in the CMS NPPES registry.
Where does Tabetha Staten practice?
The practice location on file with NPPES is in Green, OH. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-02.