KELLEY DIVELBISS (NPI# 1326443904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326443904 |
| Entity Type | Individual |
| Full Name | KELLEY DIVELBISS |
| Credential | LPN |
| Practice Address |
223 Shore Dr Eastlake OH 44095-1119 |
| Practice Telephone | 4407094006 |
| Mailing Telephone | 4407094006 |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2014-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 125519 | OH | Nursing Service Providers |
| Street Address |
223 SHORE DR |
| City | EASTLAKE |
| State | OH |
| Zip Code | 44095-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939567 | Betsy Rivera | Counselor | 39500 Euclid Ave Willougbhy Ohio 44095, 35900 Euclid Ave Willoughby Ohio 44095, Willoughby, OH 44095 | 2019-02-27 |
| 1114409554 | Beverly Ann Croyle | Nursing Care | 145 Christine Ct., Eastlake, OH 44095 | 2018-09-01 |
| 1487105540 | Emily Stupica | Psychologist | 34050 Glen Drive, Eastlake, OH 44095 | 2016-10-24 |
| 1346542255 | Rita Alvina Mitchell | Licensed Practical Nurse | 497 E305th, Willowick, OH 44095 | 2010-11-29 |
| 1669784021 | Alyssa M Kowalski | Dentist | 250 E. 312th St., Willowick, OH 44095 | 2010-07-13 |
| 1033374160 | Ruth Anne Rotkovecz | Licensed Practical Nurse | 33201 Vine St Apt., 126b, Eastlake, OH 44095 | 2008-07-29 |
| 1497926877 | Catherine Look | Registered Nurse | 278 St Lawrence Boulevard, Eastlake, OH 44095 | 2008-03-13 |
| 1457563363 | Sherry A Carlson | Home Health Aide | 779 E 305 St, Willowick, OH 44095 | 2007-05-04 |
| 1265659346 | Erica Michelle Wazney | Dentist | 32001 Vine Street, Willowick, OH 44095 | 2007-04-19 |
| 1609952464 | Donald Charles Thaler | Dentist | 34586 Lakeshore Blvd., Eastlake, OH 44095 | 2006-10-27 |
| Find all providers in zip 44095 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437672730 | Cory Ann Brown | Licensed Practical Nurse | 1327 Waverly Rd, Eastlake, OH 44095-2833 | 2017-07-19 |
| 1427420819 | Jolie Gaga | Licensed Practical Nurse | 36594 Starboard Dr, Eastlake, OH 44095-1354 | 2015-10-23 |
| 1780075838 | Kristine Caroline Shreves | Licensed Practical Nurse | 36603 S Lake Shore Blvd, Eastlake, OH 44095-1345 | 2015-02-11 |
| 1427464445 | Darnita Nicholson | Licensed Practical Nurse | 33525 Morris Ave, Eastlake, OH 44095-3951 | 2014-07-10 |
| 1720334238 | Ashley B Hager | Licensed Practical Nurse | 145 Traymore Blvd, Eastlake, OH 44095-1025 | 2012-08-02 |
| 1275890725 | Tina Maria Komorowski | Licensed Practical Nurse | 730 E 345th St, Eastlake, OH 44095-2416 | 2012-04-20 |
| 1457624983 | Joanne B Turek-malitz | Licensed Practical Nurse | 1249 E 342nd St, Eastlake, OH 44095-3012 | 2012-02-14 |
| 1205129152 | Jennifer Leigh Mcgee | Licensed Practical Nurse | 1332 E 360th St, Eastlake, OH 44095-3131 | 2011-05-25 |
| 1629383781 | Christopher Matthew Mcneely | Licensed Practical Nurse | 34860 Lakeshore Blvd, Apt H, Eastlake, OH 44095-2090 | 2010-08-13 |
| 1437475753 | Michael P Bongiorno | Licensed Practical Nurse | 683 Oriole Dr, Eastlake, OH 44095-1609 | 2010-04-12 |
| Find all providers in EASTLAKE | ||||
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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.