ANDREA BACK (NPI# 1225693856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225693856 |
| Entity Type | Individual |
| Full Name | ANDREA BACK |
| Credential | RN |
| Practice Address |
25 Thorpe Dr Dayton OH 45420-1823 |
| Practice Telephone | 9372581446 |
| Mailing Telephone | 9374572753 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN248405 | OH | Nursing Service Providers |
| Street Address |
25 THORPE DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45420-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952404105 | Stephen Thomas Mathai | Pediatrics | 25 Thorpe Dr, Dayton, OH 45420-1823 | 2006-09-06 |
| 1295394393 | Kelly Jo Shambarger | Social Worker | 25 Thorpe Dr, Dayton, OH 45420-1823 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366793366 | Shalon Carolyn Wright | Registered Nurse | 1121 Chelsea Ave, Dayton, OH 45420-3064 | 2012-10-01 |
| 1093066946 | Julie Kristin Benge | Registered Nurse | Samiratan Behavioral Health, Inc., 601 Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2012-10-01 |
| 1588673925 | Kelly Kazlo | Registered Nurse | Dayton Veterans Affairs, 4100 W Third Street Mail Stop 116, Dayton, OH 45428 | 2006-08-05 |
| 1699382432 | Kimberly Sue Massie | Registered Nurse | 7695 Poe Ave, Dayton, OH 45414-2552 | 2020-09-25 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1033730312 | Robin D Myers | Registered Nurse | 7695 Poe Ave, Dayton, OH 45414-2552 | 2020-04-28 |
| 1144875386 | Kathleen Margaret Thompson | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-08-05 |
| 1558829580 | Lois Jean Miller | Registered Nurse | 732 Beckman St, Dayton, OH 45410-2165 | 2019-03-08 |
| 1033625785 | Ashley Elizabeth Bell | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2017-12-18 |
| 1932551538 | Gina Bacon Farley | Registered Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2016-07-07 |
| Find all providers in DAYTON | ||||
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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.