MRS. THERESA BROOKS KOTLAR (NPI# 1396114302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396114302 |
| Entity Type | Individual |
| Full Name | MRS. THERESA BROOKS KOTLAR |
| Other Name | MS. THERESA MALION |
| Credential | RN |
| Practice Address |
7174 Colonial Place Ravenna OH 44266 |
| Mailing Address |
7174 Colonial Place Ravenna OH 44268 |
| Practice Telephone | 3309063331 |
| Mailing Telephone | 3309063331 |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 213262 | OH | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
213262 | OH | Nursing Service Providers |
| N | 251J00000X | Nursing Care | RN213262 | OH | Agencies |
| Street Address |
7174 COLONIAL PLACE |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| 1033526868 | Andrea Michelle Sullivan | Home Health Aide | 6340 Wall St., Ravenna, OH 44266 | 2014-07-14 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1083222798 | Shawna Lee Harris | Registered Nurse | 2645 Ivy Trl, Ravenna, OH 44266-7862 | 2020-07-20 |
| 1023641651 | Paula K Hurt Heritage | Registered Nurse | 5118 State Route 303, Ravenna, OH 44266-9721 | 2020-02-21 |
| 1861971863 | Carissa June Dotts | Registered Nurse | 3147 Denny Rd, Ravenna, OH 44266-9443 | 2018-08-09 |
| 1184138174 | Elisa Lusk | Registered Nurse | 8686 Peck Rd, Ravenna, OH 44266-9774 | 2017-11-29 |
| 1396278685 | Robin Elizabeth Mouck | Registered Nurse | 6401 Peck Rd, Ravenna, OH 44266-8884 | 2017-04-04 |
| 1184032773 | Tamara Dawn Jarrett | Registered Nurse | 2715 Sandy Lake Rd, Ravenna, OH 44266-8210 | 2014-07-26 |
| 1114356227 | Michael John Colton | Registered Nurse | 5943 State Route 303, Ravenna, OH 44266-9123 | 2013-11-08 |
| 1285926907 | Joseph W Kravetz | Registered Nurse | 240 North Ave, Ravenna, OH 44266-2004 | 2011-05-13 |
| 1285873190 | Joy B Radovic | Registered Nurse | 3477 Summit Rd, Ravenna, OH 44266-9035 | 2009-02-17 |
| 1669673794 | Sharon A Davis | Registered Nurse | 4060 Timber Run, Ravenna, OH 44266-9065 | 2007-05-29 |
| Find all providers in RAVENNA | ||||
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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.