ANGELA NICOLE MYRICK (NPI# 1003378100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003378100 |
| Entity Type | Individual |
| Full Name | ANGELA NICOLE MYRICK |
| Practice Address |
1117 Euclid Ave Lorain OH 44052-2703 |
| Practice Telephone | 4407529806 |
| Mailing Telephone | 4407529806 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 001030 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 175T00000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144631219 | Angela Tennille Myrick | Speech-Language Pathologist | 405 Philip Blvd Apt 914, Lawrenceville, GA 30046-8758 | 2014-05-12 |
| Street Address |
1117 EUCLID AVE |
| City | LORAIN |
| State | OH |
| Zip Code | 44052-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205302106 | Aurora | Home Health | 600 Broadway Ave, Lorain, OH 44052 | 2018-10-17 |
| 1790298180 | Vanessa Marie Butsko | Speech-Language Pathologist | 1051 E. St., Lorain, OH 44052 | 2017-11-08 |
| 1720504079 | Horizon Science Academy Lorain | Local Education Agency (LEA) | 760 Tower Blvd, Lorain, OH 44052 | 2017-08-18 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1699178046 | Lizbeth Citak | Registered Nurse | 446 Florida Avenue, Lorain, OH 44052 | 2014-09-30 |
| 1497945729 | Edward Jean Suggs | Home Health Aide | 427 West 20th St, Lorain, OH 44052 | 2007-08-01 |
| 1508063090 | Niyati Pankaj Sheth | Internal Medicine | 221 W 21st Street Suite 1, Infectious Disease Physicians, Lorain, OH 44052 | 2007-06-28 |
| 1437363132 | Laurie Ann Wilson | Licensed Practical Nurse | 740 Hamilton Ave Apt 2, Lorain, OH 44052 | 2007-05-10 |
| 1942424445 | Mary Jane Harvey | Licensed Practical Nurse | 1608 Euclid Ave, Lorain, OH 44052 | 2007-04-13 |
| 1093837890 | Anna Renea Kizina | Registered Nurse | 323 Concord Drive, Lorain, OH 44052 | 2007-04-04 |
| Find all providers in zip 44052 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002085 | Melanie Ann Betchey | Peer Specialist | 318 Iowa Ave, Lorain, OH 44052-2239 | 2020-01-24 |
| 1477194298 | Andria Valencia Parks | Peer Specialist | 4864 Oneil Blvd Unit D, Lorain, OH 44055-2924 | 2019-10-02 |
| 1174094189 | Let's Get Real, Inc. | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2018-12-17 |
| 1043850894 | Leigh Limongi | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2020-01-09 |
| 1528608627 | Michelle Sturtevant | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2020-01-07 |
| 1669017638 | Mary Gulas Demmy I | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2019-11-13 |
| 1295382208 | Mark Kaselak | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2019-08-23 |
| 1427604545 | Crystal Chrosniak | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2019-08-14 |
| 1225501174 | Stacey Livelsberger | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2019-01-03 |
| 1972075554 | Barbara Urbin | Peer Specialist | 1939 Oberlin Ave, Lorain, OH 44052-3959 | 2018-12-20 |
| Find all providers in LORAIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.