JACQUELINE DELAINE ADRIAN


Address: 3535 Southern Blvd, Kettering, OH 45429-1221
Phone: 9373958556

JACQUELINE DELAINE ADRIAN (NPI# 1285293142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285293142
Entity Type Individual
Full Name JACQUELINE DELAINE ADRIAN
Practice Address 3535 Southern Blvd
Kettering
OH 45429-1221
Mailing Address 3533 Southern Blvd Ste 2100
Kettering
OH 45429-1267
Practice Telephone 9373958556
Practice Fax Number 9373956376
Mailing Telephone 9373958556
Mailing Fax Number 9373956376
Enumeration Date 2019-06-13
Last Update Date 2019-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APRN.CNOP.024796 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0362039 05

Other Providers JACQUELINE ADRIAN

NPI Name Taxonomy Address Enumeration
1922168822 Jacqueline Adrian Social Worker 2021 Grand Concourse, Suite 720 7th Floor, Bronx, NY 10453-4304 2006-12-11

Office Location

Street Address 3535 SOUTHERN BLVD
City KETTERING
State OH
Zip Code 45429-1221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124183 David M Brouhard Anesthesiology 3535 Southern Blvd, Kettering, OH 45429-1221 2005-06-16
1245846757 Rachel Henderson Pharmacist 3535 Southern Blvd, Kettering, OH 45429-1221 2020-09-21
1235745043 Nipa Mukesh Patel Pharmacist 3535 Southern Blvd, Kettering, OH 45429-1298 2020-09-17
1104437425 Stephanie Elizabeth Nicholls Hospitalist 3535 Southern Blvd, Kettering, OH 45429-1221 2020-08-11
1346865144 Anesthesia Pearls, LLC Nurse Anesthetist, Certified Registered 3535 Southern Blvd, Kettering, OH 45429-1221 2020-06-08
1568087351 Pearl Lee Nurse Anesthetist, Certified Registered 3535 Southern Blvd, Kettering, OH 45429-1221 2020-06-08
1922631761 Michael Patrick Lorey Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2020-02-20
1801446315 Madison A Tate Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2019-09-17
1962058966 Joshua Caleb Courlas Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2019-08-15
1134775273 Jason Raymond Leigh Physician Assistant 3535 Southern Blvd, Kettering, OH 45429-1221 2019-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821576414 Lauren Danielle Sivley Nurse Practitioner 3535 Sourthern Boulevard, Kettering, OH 45429 2018-08-06
1114446127 Louai Al-samkari Chiropractor 1441 E. Stroop Rd., Kettering, OH 45429 2017-09-12
1407373756 Benjamin Edward Adkins Specialist/Technologist 4116 Vinita Dr., Kettering, OH 45429 2017-08-28
1972036341 James Kim Student in an Organized Health Care Education/Training Program 3535 Southern Boulevard, Kettering, OH 45429 2017-04-04
1023549847 Adrienne Krysiak Emergency Medicine 3525 Southern Boulevard, Kettering, OH 45429 2017-03-23
1386021889 Cassandra Mckoy Counselor 529 East Stroop Road, Kettering, OH 45429 2015-05-04
1417343088 Candace Benoit Obstetrics & Gynecology 3533 Southern Blvd Ste 4600, Dayton, OH 45429 2015-04-10
1275933574 Lee Schwieterman Nurse Practitioner 3535 Southern Blvd., 1 East, Kettering, OH 45429 2014-08-25
1497161947 Robert Jonathon Fresch Jr. Obstetrics & Gynecology 3533 Southern Blvd Ste 3750, Kettering, OH 45429 2014-07-05
1821349812 Lucas Brewer Counselor 1524 E Stroop Rd Ste 300, Kettering, OH 45429 2012-10-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508416173 Jacqueline Degen Nurse Practitioner 580 Lincoln Park Boulevard, Suite 320, Kettering, OH 45429-3493 2019-09-16
1972060424 Asia Richardson Nurse Practitioner 3700 Southern Blvd Ste 401, Kettering, OH 45429 2019-02-20
1912480229 Stephanie A Harris Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2018-09-12
1487131348 Meghan Dean Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2018-07-24
1497264881 Lucy Xayathone Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2017-09-28
1639698962 Leah Marie Liddy Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2017-09-19
1093243420 Eric E Bowers Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2017-05-30
1225565351 Ashley Renee Miner Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2017-05-19
1144679937 Nicholas Adrian Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2016-06-13
1528428802 Mary Tankersley Nurse Practitioner 3535 Southern Blvd, Kettering, OH 45429-1221 2016-03-01
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Competitor

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City KETTERING
Zip Code 45429

Improve Information

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Dataset Information

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.

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