RICHELLE DIELOIS JENKINS-GARRETT (NPI# 1205307287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205307287 |
| Entity Type | Individual |
| Full Name | RICHELLE DIELOIS JENKINS-GARRETT |
| Credential | MSN, APRN, PMHNP-BC |
| Practice Address |
6140 S Broadway Lorain OH 44053-3821 |
| Practice Telephone | 4402337232 |
| Mailing Telephone | 4402337232 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN.429564 | OH | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.023402 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6150 Stumph Rd Apt 304, Parma, OH 44130 | 2163853938 |
| Street Address |
6140 S BROADWAY |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751796 | Manuel Enrique Gordillo Sr. | Specialist | 6140 S Broadway, Lorain, OH 44053-3891 | 2005-06-22 |
| 1447858964 | Raymone Letroy Wells Jr. | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-10-16 |
| 1932707734 | Rachel Elizabeth Porrello | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-10-14 |
| 1336756634 | Laura Lynn Weppler | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-30 |
| 1902412307 | Janelle Kinney | Social Worker | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-21 |
| 1699381004 | Melanie Anne Glavic | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-21 |
| 1619583101 | Momoko H Barton | Social Worker | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-20 |
| 1245845551 | Alexis Feronti | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-14 |
| 1659986537 | Glen Allan Morse | Licensed Practical Nurse | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-09 |
| 1346854569 | Kathryn Ann Carico | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730425356 | Pamela Denise Pardon | Nurse Practitioner | 5295 Oberlin Ave Ste A, Lorain, OH 44053-3454 | 2012-12-31 |
| 1316316334 | Jason Darmstadt | Nurse Practitioner | 205 W 20th St, Lorain, OH 44052-3779 | 2015-09-21 |
| 1114229986 | Kimberly Michelle Gilbert | Nurse Practitioner | 6140 S Broadway, Lorain, OH 44053-3821 | 2010-11-29 |
| 1205030400 | Susan K Leguire | Nurse Practitioner | 3700 Kolbe Rd, Behavioral Health Unit, Lorain, OH 44053-1611 | 2007-06-12 |
| 1659401214 | Robin Vee Krause | Nurse Practitioner | 6140 S Broadway, Lorain, OH 44053-3891 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.