PAMELA CORNLEY (NPI# 1316501513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316501513 |
| Entity Type | Individual |
| Full Name | PAMELA CORNLEY |
| Practice Address |
1515 E Broad St Columbus OH 43205-1550 |
| Practice Telephone | 6145697736 |
| Mailing Telephone | 6145697736 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1515 E BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366466955 | Columbus Area Integrated Health Services, Inc. | Counselor | 1515 E Broad St, Columbus, OH 43205-1550 | 2006-07-27 |
| 1174083158 | Salam Atala | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-25 |
| 1487113601 | Mechelle Darby | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1164981353 | Jessica Goliday | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1053870238 | Michelle Rogers | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1255890455 | Derrick Goliday | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1013476290 | Johnny Turner | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-03-18 |
| 1275099012 | Clinton Dade | Specialist | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-02-18 |
| 1346704236 | Ashton Singhal | Counselor | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-01-25 |
| 1295299261 | Sarah Huelskoetter | Social Worker | 1515 E Broad St, Columbus, OH 43205-1550 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068692 | Ryan Bailey | Peer Specialist | 1576 Omar Dr, Columbus, OH 43207-2746 | 2020-09-22 |
| 1467062117 | Julie A Leach | Peer Specialist | 36 Santa Maria Ln, Columbus, OH 43213-1843 | 2020-08-07 |
| 1932739042 | Michael Stephen Barrett | Peer Specialist | 490 Forest St, Columbus, OH 43206-2316 | 2020-01-17 |
| 1225678386 | John William Burdeshaw | Peer Specialist | 3916 Valley Rd, Columbus, GA 31907-5657 | 2020-01-07 |
| 1942848619 | Jacqueline T Doodley | Peer Specialist | 2475 Perdue Ave, Columbus, OH 43211-1876 | 2019-12-12 |
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1184275992 | Steven Sweatte | Peer Specialist | 311 Taylor Ave, Columbus, OH 43203-1757 | 2019-09-23 |
| 1184279671 | Anthony B Cook | Peer Specialist | 2834 S High St, Columbus, OH 43207-3660 | 2019-08-02 |
| 1801448717 | Cale Burke | Peer Specialist | 1796 Stilton Ave, Columbus, OH 43228-4574 | 2019-07-10 |
| 1326608043 | Erica N Tynes | Peer Specialist | 6370 Ambleside Dr Apt C, Columbus, OH 43229-1994 | 2019-06-14 |
| Find all providers in COLUMBUS | ||||
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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.