NICOLE A KLONARIS (NPI# 1184978264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184978264 |
| Entity Type | Individual |
| Full Name | NICOLE A KLONARIS |
| Credential | CNP |
| Practice Address |
225 Elyria St Lodi OH 44254-1031 |
| Practice Telephone | 3309485533 |
| Practice Fax Number | 3309482726 |
| Mailing Telephone | 3309485533 |
| Mailing Fax Number | 3309482726 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 13318NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0074796 | 05 | |
| OH | LODI COMMUNITY HOSPITAL MEDICAID GROUP # | 2396081 | 01 |
| OH | LODI COMUNITY HOSPITAL TYPE 2 NPI # | 1801807870 | 01 |
| OH | LODI COMMUNITY CARE CENTER TYPE 2 NPI # | 1003849910 | 01 |
| OH | LODI COMMUNITY HOSPITAL MEDICARE GROUP # | 3613031 | 01 |
| Street Address |
225 ELYRIA ST |
| City | LODI |
| State | OH |
| Zip Code | 44254-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765386 | Kimberly C Sheets | Family Medicine | 225 Elyria St, Lodi, OH 44254 | 2006-01-19 |
| 1598393274 | Carla Hillwig | Physical Therapist | 225 Elyria St, Lodi, OH 44254-1031 | 2020-03-30 |
| 1437787371 | Gabrielle Paoletta | Physical Therapist | 225 Elyria St, Lodi, OH 44254-1031 | 2020-03-27 |
| 1093342149 | Rachael Klimas | Physical Medicine & Rehabilitation | 225 Elyria St, Lodi, OH 44254-1031 | 2020-03-26 |
| 1417584764 | Christina Banasek | Physical Therapist | 225 Elyria St, Lodi, OH 44254-1031 | 2020-03-26 |
| 1902332299 | Brittny Queden | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2017-05-04 |
| 1588045942 | Steven Michael Pap | Obstetrics & Gynecology | 225 Elyria St, Lodi, OH 44254-1031 | 2015-06-11 |
| 1659773661 | Kristin Carrie Trill | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2014-09-22 |
| 1194157768 | Charlene Marie Nagel | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254-1031 | 2013-08-05 |
| 1164761631 | Lodi Community Hospital | Clinical Medical Laboratory | 225 Elyria St, Lodi, OH 44254-1031 | 2013-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194044396 | John Ignatius Meilinger | Dentist | 115 Bank Street, John I. Meiling Dds Inc, Lodi, OH 44254 | 2010-05-27 |
| 1205983947 | Village of Lodi | Ambulance | 591 Medina Street, Lodi, OH 44254 | 2007-01-04 |
| 1518070390 | John I Meilinger Dds Inc | Dentist | 115 Bank St, Lodi, OH 44254 | 2006-08-16 |
| 1801052204 | Lodi Community Hospital | General Practice | 221 Elyria St, Lodi, OH 44254-1000 | 2008-08-05 |
| 1932343274 | Ohio Eye Care Consultants LLC | Eyewear Supplier (Equipment, not the service) | 221 Elyria St, Suite 104, Lodi, OH 44254-1000 | 2009-04-30 |
| 1245721356 | Timothy M Phillips Dds Inc | Dentist | 115 Bank St, Lodi, OH 44254-1001 | 2018-05-24 |
| 1356878110 | Timothy Phillips | Dentist | 115 Bank St, Lodi, OH 44254-1001 | 2017-05-11 |
| 1437215605 | Svfe Ambulance | Ambulance | 110 Bank St, Lodi, OH 44254-1002 | 2006-12-29 |
| 1295775070 | Sullivan Volunteer Fire & Ems | Ambulance | 112 Bank St, Lodi, OH 44254-1002 | 2006-06-08 |
| 1104039213 | Society for Handicapped Citizens | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Bank St, Lodi, OH 44254-1004 | 2007-05-07 |
| Find all providers in zip 44254 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639584337 | Alberto Sarmiento | Nurse Practitioner | 69 Hamilton Ave, Lodi, NJ 07644-1407 | 2014-06-22 |
| 1437161643 | Sarah Mann | Nurse Practitioner | 1235 W Vine St # 20, Lodi, CA 95240-5109 | 2006-08-13 |
| 1902861669 | Patricia A Portz | Nurse Practitioner | N2372 Rausch Rd, Lodi, WI 53555-9751 | 2006-04-18 |
| 1578958450 | Clinic Services of California Medical Group Inc | Nurse Practitioner | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 | 2015-03-30 |
| 1982037040 | Ryan Elizabeth Vaccarezza | Nurse Practitioner | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2013-08-13 |
| 1114253101 | Rosemary Ann Brixie | Nurse Practitioner | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2009-10-26 |
| 1881719284 | Karen M Meng | Nurse Practitioner | 160 Valley Dr, Lodi Medical Clinic, Lodi, WI 53555-1464 | 2007-03-21 |
| 1639237670 | Michelle M Martin | Nurse Practitioner | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-12-04 |
| 1104908847 | Shizu Jennifer Kawai | Nurse Practitioner | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2006-10-20 |
| 1487768362 | Heidi Yurong | Nurse Practitioner | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2006-08-18 |
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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.