ILLISE FERRELL (NPI# 1396004776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396004776 |
| Entity Type | Individual |
| Full Name | ILLISE FERRELL |
| Credential | FNP-NP |
| Practice Address |
29640 Euclid Ave Wickliffe OH 44092 |
| Mailing Address |
29640 Euclid Ave Wickliffe OH 44092-1829 |
| Practice Telephone | 4404639596 |
| Mailing Telephone | 4404639596 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.371331 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.0022454 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0268768 | 05 |
| Street Address |
29640 EUCLID AVE |
| City | WICKLIFFE |
| State | OH |
| Zip Code | 44092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826803 | Vyacheslav Isakov | Family Medicine | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2006-01-26 |
| 1235639725 | Brittanie Nikol Svoboda | Nurse Practitioner | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2018-02-20 |
| 1447705116 | Brianna Rosati | Nurse Practitioner | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2016-08-23 |
| 1184091712 | Great Lakes Care Inc | Internal Medicine | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2015-08-31 |
| 1861831463 | Great Lakes Hypertension & Kidney Care Inc | Specialist | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2013-06-18 |
| 1841433265 | Ionel Zamfir Donca | Internal Medicine | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2009-04-15 |
| 1306930144 | George Muenster D.o.,inc. | Colon & Rectal Surgery | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2006-10-03 |
| 1609846070 | George Muenster | Family Medicine | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780070912 | Prisma Home Health | Home Health | 39339 Eucled Ave, Wickliffe, OH 44092 | 2015-04-14 |
| 1245584671 | Leah Elaine Hollins | Licensed Practical Nurse | 1565 Lee Terrace Dr, E8, Wickliffe, OH 44092 | 2012-11-07 |
| 1225381213 | Casandra Samantha Gaglione | Registered Nurse | 2983 Robert St, Wickliffe, OH 44092 | 2012-10-16 |
| 1548528235 | Alioune Blondin Diop | Driver | 27600 Chardon Rd #867, Wickliffe, OH 44092 | 2012-05-01 |
| 1184959348 | Steven P. Petti | Dentist | 29090 Euclid Ave., Wickliffe, OH 44092 | 2009-10-06 |
| 1841478559 | Ashley Boggs | Specialist/Technologist | 28080 Chardon Rd #204, Willoughby Hills, OH 44092 | 2008-02-05 |
| 1659597987 | Doris Eliana Cohen | Psychologist | 1460 Rockefeller Rd, Wickliffe, OH 44092 | 2007-04-17 |
| 1134248982 | Christina Terese George | Physical Therapist | 28080 Chardon Rd, Ste 204, Willoughby Hills, OH 44092 | 2007-03-29 |
| 1659447183 | Wilfred Fredrick Fromm | Dentist | 29010 Chardon Road, Willoughby Hills, OH 44092 | 2006-11-27 |
| 1255412748 | Dentistry Inc | Dentist | 27291 Chardon Rd, Willoughby Hills, OH 44092 | 2006-10-18 |
| Find all providers in zip 44092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447705116 | Brianna Rosati | Nurse Practitioner | 29640 Euclid Ave, Wickliffe, OH 44092-1829 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.