MRS. CHARITY KATIO OTIENO (NPI# 1154985414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154985414 |
| Entity Type | Individual |
| Full Name | MRS. CHARITY KATIO OTIENO |
| Practice Address |
44963 Lemont Rd Canton MI 48187-5021 |
| Practice Telephone | 3134450263 |
| Mailing Telephone | 3134450263 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4204267626 | MI | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AG07190244 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
44963 LEMONT RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
| 1851838809 | Kristen Bourgon-yee | Nurse Practitioner | 236 Constitution St, Canton, MI 48188-6719 | 2017-01-30 |
| 1063883981 | Destiny Howe | Nurse Practitioner | 1610 Oakdale Rd, Canton, GA 30114-4512 | 2015-10-19 |
| 1912398827 | Andrea Johnson | Nurse Practitioner | 7440 Claremont St, Canton, MI 48187-1535 | 2015-02-13 |
| 1376973602 | Sarita Rao | Nurse Practitioner | 44270 Duchess Dr, Canton, MI 48187-3242 | 2013-11-22 |
| 1134476088 | Carla Valerie Hart-tyner | Nurse Practitioner | 3801 Whipple Ave Nw Ste 1, Canton, OH 44718-4802 | 2012-08-09 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| 1942502109 | Lynn A Nuti | Nurse Practitioner | 16 Forge Pond, Unit D, Canton, MA 02021-2995 | 2010-11-21 |
| 1841470010 | Wida M Miller | Nurse Practitioner | 2600 6th St Sw # A2-710, Canton, OH 44710-1702 | 2007-11-05 |
| Find all providers in CANTON | ||||
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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.