TIA MANDELA (NPI# 1184102089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184102089 |
| Entity Type | Individual |
| Full Name | TIA MANDELA |
| Practice Address |
1016 Sugarbush Dr Ashland OH 44805 |
| Mailing Address |
1016 Sugarbush Dr Ashland OH 44805-9489 |
| Practice Telephone | 4199030404 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022940 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1016 SUGARBUSH DR |
| City | ASHLAND |
| State | OH |
| Zip Code | 44805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366928145 | Morgan R Kamenik | Nurse Practitioner | 1016 Sugarbush Dr, Ashland, OH 44805-9489 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1417421488 | Professional Dental Alliance of Ashland, LLC | Dentist | 1860 East Main St., Ashland, OH 44805 | 2019-01-14 |
| 1881164473 | Destiny Dawn Williams | Student in an Organized Health Care Education/Training Program | 1115 Union Street, Ashland, OH 44805 | 2018-11-27 |
| 1992273106 | Marc Schaffer | Occupational Therapist | Kingston of Ashland, 20 Amberwood Parkway, Ashland, OH 44805 | 2018-11-06 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1588171847 | Belinda Foster | Pharmacist | 419 Claremont Ave, Ashland, OH 44805 | 2018-01-08 |
| 1851816649 | Heather Donnenwirth | Social Worker | 1763 St. Rt 60, Suite 120, Ashland, OH 44805 | 2017-08-14 |
| 1619498722 | Stephanie Darm | Speech-Language Pathologist | 1407 Claremont Ave, Ashland, OH 44805 | 2017-06-28 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| Find all providers in zip 44805 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123519 | Daniel Purtell | Nurse Practitioner | 10 Slash Ct, Ashland, VA 23005-2170 | 2020-08-07 |
| 1942819974 | Nicholas Heith Elliott | Nurse Practitioner | 40 Winborn Ave, Ashland, MS 38603-6631 | 2020-07-27 |
| 1942836382 | Timothy Browning | Nurse Practitioner | 100 Laurel Ct, Ashland, KY 41101-2194 | 2020-03-17 |
| 1700410081 | Thomas Earl Moore | Nurse Practitioner | 5575 Dana Dr, Ashland, KY 41102-9647 | 2020-02-26 |
| 1811520190 | Heidi Barnes | Nurse Practitioner | 6628 Us Route 60, Ashland, KY 41102-9529 | 2020-02-14 |
| 1982235016 | Anna Layne Salow | Nurse Practitioner | 2302 Moore St, Ashland, KY 41101-3821 | 2020-01-28 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1295245207 | Christine Michelle Meeting | Nurse Practitioner | 1251 Township Road 1253, Ashland, OH 44805-4606 | 2017-10-04 |
| 1144739384 | Lindsay Robbins Culver | Nurse Practitioner | 635 N Wasington Highway, Ashland, VA 23005-1463 | 2017-09-20 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| Find all providers in ASHLAND | ||||
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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.