Tabetha Staten, NP
Tabetha Staten, NP is a Nurse Practitioner in Green, Ohio. Qualified in 2017, 9 years ago. Practices with Illumia Health LLC, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.
- Years since qualifying
- 9
- Licensed in
- OH
- In the registry since
- 2017
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
1700 Boettler Rd Ste 100Green, OH 44685-7793
Phone: (330) 896-0009
Fax: (330) 896-0032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence APRN.CNP.021511 (OH) |
|---|
Record details
| NPI number | 1104342138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | August 22, 2017 |
| Last updated in NPPES | July 2, 2026 |
| Certification date | July 2, 2026 |
| Mailing address | 944 Cherry St E, Canal Fulton, OH 44614-8669 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Illumia Health Llc — 33 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |