MANDISA MOLTON (NPI# 1205282084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205282084 |
| Entity Type | Individual |
| Full Name | MANDISA MOLTON |
| Practice Address |
10553 Saint Clair Ave Cleveland OH 44108-1973 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 2166827702 |
| Practice Fax Number | 2169206273 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA.19066-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.19066-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
COA.19066-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
COA.19066-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10553 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44108-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
| 1962914366 | Isharon Benyette Reynolds | Nurse Practitioner | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2017-10-26 |
| 1699127381 | Stephanie Diane Kincaid | Social Worker | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2016-07-06 |
| 1811243397 | Jeremy Perse | Podiatrist | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-08-02 |
| 1114284411 | Olaoluwa Oladipo Fayanju | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
| 1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
| 1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
| 1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
| 1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
| 1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
| 1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
| 1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
| 1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
| 1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
| Find all providers in zip 44108 | ||||
| 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 |
|---|---|---|---|---|
| 1073121042 | Madelyn Suzanne Yacavino | Nurse Practitioner | 1229 W 70th St, Cleveland, OH 44102-2017 | 2020-07-16 |
| 1972139590 | Ciara Kessler | Nurse Practitioner | 10685 Carnegie Avenue, Cleveland, OH 44195-0001 | 2020-03-15 |
| 1700411568 | Mallory Spieth | Nurse Practitioner | 9600 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-11 |
| 1912540543 | Lyndsey Rachelle Kytta | Nurse Practitioner | 5420 Saint Stephens Ct, Cleveland, OH 44102-3200 | 2019-10-27 |
| 1649829730 | Ashley Johnson | Nurse Practitioner | 770 Stuart Rd Ne, Cleveland, TN 37312-5080 | 2019-09-10 |
| 1821642422 | Ashley Nicole Sutkowski | Nurse Practitioner | 9500 Euclid Ave # J1-5, Cleveland, OH 44195-0001 | 2019-07-31 |
| 1063979656 | Kimberly Jones | Nurse Practitioner | 9500 Euclid Ave # Deskj82, Cleveland, OH 44195-0001 | 2019-03-01 |
| 1255804019 | Kerri Hopkins | Nurse Practitioner | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 | 2019-01-04 |
| 1124595749 | Natalie Wolters Gery | Nurse Practitioner | 2253 Chambliss Ave Nw Ste 2012, Cleveland, TN 37311-3861 | 2018-11-01 |
| 1477039113 | Rachel Wolff | Nurse Practitioner | 1001 Lakeside Ave E Ste 100, Cleveland, OH 44114-1172 | 2018-07-16 |
| Find all providers in CLEVELAND | ||||
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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.