LUCILLE ANN BERTINO (NPI# 1114176310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114176310 |
| Entity Type | Individual |
| Full Name | LUCILLE ANN BERTINO |
| Other Name | MRS. LUCILLE ANN KEAVENY |
| Credential | RN |
| Practice Address |
54 S State St Rm 204 Painesville OH 44077-3445 |
| Practice Telephone | 4403576740 |
| Practice Fax Number | 4403500506 |
| Mailing Telephone | 4403576740 |
| Mailing Fax Number | 4403500506 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN109821 | OH | Nursing Service Providers |
| Street Address |
54 S STATE ST RM 204 |
| City | PAINESVILLE |
| State | OH |
| Zip Code | 44077-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693248 | Margie M Delong | Nurse Practitioner | 54 S State St, Family Planning Association of Northeast Ohio Suite 203, Painesville, OH 44077-3445 | 2005-10-19 |
| 1033478045 | Leslie S Kushner | Advanced Practice Midwife | 54 S State St, Suite 203, Painesville, OH 44077-3445 | 2012-05-10 |
| 1306096524 | Mark Anthony Restifo | Registered Nurse | 54 S State St, Suite 204, Painesville, OH 44077-3445 | 2008-09-24 |
| 1730397282 | Lake County Free Medical Clinic | Voluntary or Charitable | 54 S State St, Suite 302, Painesville, OH 44077-3445 | 2007-05-18 |
| 1699813410 | Robert S. Forbes Jr. | Chiropractor | 54 S State St, Ste. 301, Painesville, OH 44077-3445 | 2007-02-02 |
| 1437233996 | Thomas Harold Coss | Social Worker | 54 S State St, Suite 204, Painesville, OH 44077-3445 | 2006-10-24 |
| 1194810333 | Laura M Garlisi | Psychiatry & Neurology | 54 S State St, #204, Painesville, OH 44077-3445 | 2006-10-04 |
| 1629172648 | Lois K Novikoff | Registered Nurse | 54 S State St, Painesville, OH 44077-3445 | 2006-09-11 |
| 1114038999 | Barbara Matilde Rodriguez | Psychiatry & Neurology | 54 S State St, Ste 204, Painesville, OH 44077-3445 | 2006-08-31 |
| 1811911282 | Cynthia Patricia Didonato | Social Worker | 54 S State St, Painesville, OH 44077-3445 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
| 1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
| 1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
| 1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
| 1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
| 1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
| 1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
| Find all providers in zip 44077 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629172648 | Lois K Novikoff | Registered Nurse | 54 S State St, Painesville, OH 44077-3445 | 2006-09-11 |
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|---|---|---|---|---|
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| 1255932877 | Julie Lynn Hilberg | Registered Nurse | 4220 Brookway Ln, Brooklyn, OH 44144-1303 | 2020-11-02 |
| 1619578218 | Kimberly Neace | Registered Nurse | 9152 Stonemoor Pl, Lewis Center, OH 43035-7534 | 2020-11-02 |
| 1700491594 | Audrey Alford | Registered Nurse | 107 Plaza Dr Ste N, Saint Clairsville, OH 43950-8735 | 2020-09-09 |
| 1437767043 | Donna Nichter Sprunger | Registered Nurse | 7014 N River Rd, Waterville, OH 43566-9450 | 2020-07-20 |
| 1396353033 | Ikea Windham | Registered Nurse | 2022 River Rock Way, Reynoldsburg, OH 43068-8259 | 2020-07-20 |
| 1629691969 | Christine E Karn | Registered Nurse | 925 Keynote Cir, Brooklyn Heights, OH 44131-1870 | 2020-05-21 |
| 1275169591 | Shannon Prescott | Registered Nurse | 1402 Tener Pl, Springfield, OH 45502-8711 | 2020-03-18 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1184257248 | Debra Fox Reilly | Registered Nurse | 431 E Broad St # Oh, Columbus, OH 43215-4004 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | PAINESVILLE |
| Zip Code | 44077 |
Please comment or provide details below to improve the information on LUCILLE ANN BERTINO.
| 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.