MARY ETTA NICHOLS (NPI# 1093348476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093348476 |
| Entity Type | Individual |
| Full Name | MARY ETTA NICHOLS |
| Practice Address |
2231 N Taylor Rd Cleveland Heights OH 44112-3044 |
| Practice Telephone | 2164412496 |
| Practice Fax Number | 2166349611 |
| Mailing Telephone | 2164412496 |
| Mailing Fax Number | 2166349611 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144553074 | Mary A Nichols | Mechanotherapist | 195 - 1st Place N.w., Issaquah, WA 98027 | 2009-09-10 |
| 1407902299 | Mary E Nichols | Nurse Practitioner | 15005 Shady Grove Rd Ste 450, Rockville, MD 20850-6377 | 2007-01-26 |
| 1629032412 | Mary W Nichols | Nurse Practitioner | 76 Veterans Ave Bldg 30 Rm 202, Bath, NY 14810-0810 | 2006-04-17 |
| 1881226355 | Mary L Nichols | Adult Companion | 1035 Portland Ave, Gladstone, OR 97027-2154 | 2020-02-12 |
| 1235789959 | Mary Alvin Nichols | Marriage & Family Therapist | 200 E Del Mar Blvd Ste 210, Pasadena, CA 91105-2551 | 2019-09-14 |
| 1679034813 | Mary Nichols | Behavior Technician | 2075 Lincoln Ave Ste D, San Jose, CA 95125-3513 | 2019-03-29 |
| 1770998189 | Mary Ann Nichols | Counselor | 190 Lime Quarry Rd, Ste #115, Madison, AL 35758-8962 | 2014-06-24 |
| 1437469152 | Mary Nichols | Nurse Practitioner | 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 | 2010-10-15 |
| 1447564216 | Mary Lorene Nichols | Marriage & Family Therapist | 451 Lytton Ave, Palo Alto, CA 94301-1535 | 2010-08-03 |
| 1063745271 | Mary Nichols | Counselor | 915 Rosa L Parks Blvd, Nashville, TN 37208-2621 | 2009-09-08 |
| Street Address |
2231 N TAYLOR RD |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44112-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376176180 | Shayla Clark | Counselor | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-02-20 |
| 1295367332 | Daisey M Reed | Student in an Organized Health Care Education/Training Program | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-02-06 |
| 1053942722 | Sandra Miller | Counselor | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-01-30 |
| 1215576509 | Anthony Allen Nathal | Social Worker | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-01-03 |
| 1164068524 | Jordan Community Residential | Psychologist | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1437618048 | Paula Williams Mays | Social Worker | 15998 Henley Road, East Cleveland, OH 44112 | 2019-03-14 |
| 1811403801 | Evelyn Lynette Bailey | Counselor | Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 | 2017-12-28 |
| 1083140800 | Tashel Miller | Nurse's Aide | 1254 Carlson Rd, Cleveland, OH 44112 | 2017-05-11 |
| 1629518675 | Ebony Stephens | Counselor | 13524 Mann Ave, East Cleveland, OH 44112 | 2017-02-24 |
| 1053861708 | Quality Home Care | Home Health | 1252 E. 134th St, East Cleveland, OH 44112 | 2016-10-06 |
| 1780137463 | Lavinia Pope | Registered Nurse | 885 Eloise Dr, Cleveland Heights, OH 44112 | 2016-07-28 |
| 1891147781 | Mary L Gates | Technician | 16156 Forest Hills Blvd, East Cleveland, OH 44112 | 2016-07-05 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1467836791 | Sherri Mcarthur | Registered Nurse | 939 Dresden Rd, Cleveland Heights, OH 44112 | 2015-07-16 |
| Find all providers in zip 44112 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962982900 | Latoya Dion Briscoe | Case Manager/Care Coordinator | 3252 Cedarbrook Rd, Cleveland Heights, OH 44118-2904 | 2018-08-20 |
| 1205313145 | Aliah Tarrer | Case Manager/Care Coordinator | 3294 E Overlook Rd, Cleveland Heights, OH 44118-2114 | 2018-07-24 |
| 1912484163 | Shashiana Marie Scott | Case Manager/Care Coordinator | 1006 Keystone Dr, Cleveland Heights, OH 44121-2443 | 2018-07-20 |
| 1356836514 | Jillian Michelle Strowder | Case Manager/Care Coordinator | 3814 Parkdale Rd, Cleveland Heights, OH 44121-1619 | 2018-06-28 |
| 1144714742 | Rashaba Abd-fatir | Case Manager/Care Coordinator | 3257 Silsby Rd, Cleveland Heights, OH 44118 | 2018-06-18 |
| 1700418324 | Brandon Jamal Chin | Case Manager/Care Coordinator | 2490 Lee Blvd, Cleveland Heights, OH 44118-1268 | 2020-02-11 |
| 1801432869 | Shaunita Lee | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 219, Cleveland Heights, OH 44118-1269 | 2019-11-25 |
| 1528604162 | Brandi Davis | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 | 2019-11-19 |
| 1851937452 | Kasarah Anastacia Zeno | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 | 2019-11-19 |
| 1083255038 | Latisha Lanell Brown | Case Manager/Care Coordinator | 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 | 2019-10-01 |
| Find all providers in CLEVELAND HEIGHTS | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44112 |
Please comment or provide details below to improve the information on MARY ETTA NICHOLS.
| 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.