ANGELA D PEACHOCK (NPI# 1144706821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144706821 |
| Entity Type | Individual |
| Full Name | ANGELA D PEACHOCK |
| Credential | APRN-CNP |
| Practice Address |
Serenity Center 8440 Market St. Youngstown OH 44512-6702 |
| Mailing Address |
2829 Hamman Dr Youngstown OH 44511-1829 |
| Practice Telephone | 3309659999 |
| Mailing Telephone | 3303010710 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.023171 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
SERENITY CENTER 8440 MARKET ST. |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168287 | Christopher M Kalinyak | Nurse Practitioner | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2006-01-12 |
| 1720610082 | Tracey Lynn Rusnak | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-02-05 |
| 1699326637 | Madison Ivy Taylor | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2019-09-20 |
| 1265088199 | Heather Ashley Dawson | Nurse Practitioner | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-15 |
| 1720560634 | Shiloh Dawn Mcfarland | Nurse Practitioner | 196 Colonial Dr, Youngstown, OH 44505-2139 | 2018-09-06 |
| 1154870590 | John Blackwell | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2016-09-27 |
| 1225414410 | Brankica Podravac | Nurse Practitioner | 535 Marmion Ave, Youngstown, OH 44502 | 2015-08-11 |
| 1831446863 | Melinda Michele Smith | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2012-08-09 |
| 1598048563 | Natalie G Kozicky | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2011-09-26 |
| 1871773937 | Renee Marie Minotti | Nurse Practitioner | 2031 Belmont Ave, Youngstown, OH 44505-2401 | 2007-11-06 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
Please comment or provide details below to improve the information on ANGELA D PEACHOCK.
| 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.