ZAK NORDYKE HOLISTIC FITNESS (NPI# 1376169490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376169490 |
| Entity Type | Organization |
| Organization Name | ZAK NORDYKE HOLISTIC FITNESS |
| Practice Address |
5880 Winton Ridge Ln Cincinnati OH 45232-1121 |
| Practice Telephone | 5132769238 |
| Mailing Telephone | 5132769238 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | ZACHARY W NORDYKE (BOARD MEMBER) |
| Authorized Official Telephone | 5136238422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Evergreen Holistic Learning Center | Doing Business As Name - Organization |
| Street Address |
5880 WINTON RIDGE LN |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45232-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005286 | Zachary Nordyke | Case Manager/Care Coordinator | 5880 Winton Ridge Ln, Cincinnati, OH 45232-1121 | 2020-02-21 |
| 1275143117 | Kathleen Nordyke | Case Manager/Care Coordinator | 5880 Winton Ridge Ln, Cincinnati, OH 45232-1121 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942764980 | Errin Michelle Kemp | Nurse's Aide | 5711 Vine St, Cincinnati, OH 45232 | 2019-01-23 |
| 1891188041 | Laterra Lynnee Wisdom | Home Health Aide | 5214 Holland Dr., 1591, Cincinnati, OH 45232 | 2015-03-12 |
| 1881086916 | Caleb Burdette | Pharmacist | 4777 Kenard Avenue, Cincinnati, OH 45232 | 2015-02-26 |
| 1710263769 | Ronnell Martez Reese | Home Health Aide | 60 Craft, Cincinnati, OH 45232 | 2011-10-21 |
| 1215187877 | Summit Academy Transition High School - Cincinnati | Local Education Agency (LEA) | 750 Derby Avenue, Cincinnati, OH 45232 | 2008-09-19 |
| 1609384825 | Sonya N Wells | Nurse Practitioner | 5275 Winneste Ave, Cincinnati, OH 45232 | 2018-01-22 |
| 1366954182 | Erin Marie New Ralston | Speech-Language Pathologist | 5425 Winton Ridge Ln, Cincinnati, OH 45232 | 2017-11-02 |
| 1629453956 | Leah Tramble | Nurse's Aide | 5650 Winton Rd Apt 9, Cincinnati, OH 45232-1035 | 2015-07-28 |
| 1356750715 | Demitra Miles | Licensed Practical Nurse | 5720 Winton Rd, Apt 105, Cincinnati, OH 45232-1049 | 2014-08-10 |
| 1023569167 | Paige Frost | Licensed Practical Nurse | 5443 Hebron Ct, Cincinnati, OH 45232-1104 | 2016-10-24 |
| Find all providers in zip 45232 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639610 | Denea Lois Ridley | Counselor | 1625 California Ave, Cincinnati, OH 45237-5603 | 2020-11-03 |
| 1336759497 | Hope Marie Godfrey | Counselor | 4968 Glenway Ave Ste 215, Cincinnati, OH 45238-3902 | 2020-08-04 |
| 1649894742 | Monica Hedges | Counselor | 109 W 66th St, Cincinnati, OH 45216-1949 | 2020-06-04 |
| 1417578659 | Alexandra Harmeyer | Counselor | 4250 Williamson Pl, Cincinnati, OH 45223-2112 | 2020-04-28 |
| 1720607500 | Monica Louise Mertens | Counselor | 3973 Hopper Hill Rd, Cincinnati, OH 45255-4945 | 2020-04-13 |
| 1477172658 | Jennifer Lynn Adamson | Counselor | 6414 Werk Rd, Cincinnati, OH 45248-2927 | 2020-04-08 |
| 1861024473 | Lishawn Scott | Counselor | 1831 Andina Ave, Cincinnati, OH 45237-6015 | 2020-02-11 |
| 1043851330 | Melissa Boyd Frye | Counselor | 1095 Nimitzview Dr Ste 302a, Cincinnati, OH 45230-4341 | 2019-10-08 |
| 1114577178 | Elizabeth Mensah Buah | Counselor | 2563 Keysport Ln, Cincinnati, OH 45231-1144 | 2019-09-12 |
| 1629627765 | Counseling Center of Cincinnati, LLC | Counselor | 38 Triangle Park Dr # 11, Cincinnati, OH 45246-3421 | 2019-09-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45232 |
Please comment or provide details below to improve the information on ZAK NORDYKE HOLISTIC FITNESS.
| 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.