THERESA A. MOFFETT (NPI# 1194085092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194085092 |
| Entity Type | Individual |
| Full Name | THERESA A. MOFFETT |
| Credential | LPN |
| Practice Address |
3922 Lovers Ln Ravenna OH 44266-4200 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-4128 |
| Practice Telephone | 3306731347 |
| Practice Fax Number | 3306783677 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.101143-M-IV | OH | Nursing Service Providers |
| Street Address |
3922 LOVERS LN |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831364421 | Joyce L. Giovannelli | Psychologist | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2008-04-24 |
| 1942809348 | Destiny White | Behavior Technician | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-10-19 |
| 1275148223 | Alyssa Baynes | Case Manager/Care Coordinator | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-09-15 |
| 1568075299 | Angelina Pallante | Social Worker | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-08-24 |
| 1588275440 | Tanya Bierer | Peer Specialist | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-08-13 |
| 1477179505 | Victoria Sanborn | Counselor | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-06-24 |
| 1306461850 | Brian Mcghee | Social Worker | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-06-10 |
| 1518586353 | Amanda K Walker | Social Worker | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-04-12 |
| 1740814359 | Kiersten Holman | Case Manager/Care Coordinator | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-02-24 |
| 1366088171 | Chelsea Marie Whitely | Case Manager/Care Coordinator | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2019-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417408626 | Karen Flessner | Licensed Practical Nurse | 821 Buell Ave, Ravenna, NE 68869-1071 | 2016-10-23 |
| 1982059978 | Donna Rae Clark | Licensed Practical Nurse | 3097 Pondview Dr, Ravenna, OH 44266-9051 | 2016-04-27 |
| 1538589759 | Dawnettecoulbourne L Coulbourne I | Licensed Practical Nurse | 4575 Hayes Rd, Ravenna, OH 44266-3711 | 2014-04-27 |
| 1609292820 | Lori Grace Pierce | Licensed Practical Nurse | 1062 Mechanic Ave, Ravenna, OH 44266-1406 | 2014-03-12 |
| 1710318027 | Pamela Eilene Hattle | Licensed Practical Nurse | 3192 Shawnee Trail, Ravenna, OH 44266 | 2013-12-12 |
| 1144665480 | Amanda Rae Plocki | Licensed Practical Nurse | 3232 Rausch Ave, Ravenna, OH 44266-1602 | 2013-04-30 |
| 1336582337 | Dana Angela Donovan | Licensed Practical Nurse | 5943 Sr 303, Ravenna, OH 44266-9123 | 2013-04-10 |
| 1598012494 | Leanne M Tierney | Licensed Practical Nurse | 730 Woodgate Blvd, Apt 103, Ravenna, OH 44266-4134 | 2012-08-09 |
| 1518237494 | Brenda Rose Russell | Licensed Practical Nurse | 3009 Shelly Rd, Ravenna, OH 44266-9415 | 2012-01-09 |
| 1427344241 | Tanya Marie Holcomb | Licensed Practical Nurse | 3781 Summit Rd, Ravenna, OH 44266-3589 | 2011-06-20 |
| Find all providers in RAVENNA | ||||
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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.