MS. MICHELLE RENEE GRAVES (NPI# 1417599499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417599499 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE RENEE GRAVES |
| Practice Address |
104 Spink St Wooster OH 44691-3652 |
| Practice Telephone | 3302688498 |
| Practice Fax Number | 3302643777 |
| Mailing Telephone | 3302688498 |
| Mailing Fax Number | 3302643777 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1487112421 | Michelle Lynn Graves | Social Worker | 71 Charnell St, Bethel Springs, TN 38315-3523 | 2019-03-08 |
| 1083050371 | Michelle Lee Graves | Counselor | 1280 W 47th Ave, Denver, CO 80211-2317 | 2013-05-14 |
| 1982242426 | Michelle Lee Graves | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2019-12-16 |
| 1619472420 | Michelle N Graves | Specialist | 17 93rd St, Keene, NH 03431-3989 | 2018-03-26 |
| 1205283348 | Michelle Graves | Registered Nurse | 1900 N White Sands Blvd, Alamogordo, NM 88310-6246 | 2016-05-18 |
| 1124305560 | Michelle Graves | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2011-11-14 |
| 1972888196 | Michelle Nicole Graves | Occupational Therapy Assistant | 1529 Nye Rd, Lyons, NY 14489-9111 | 2011-10-19 |
| 1578588612 | Michelle Graves | Acupuncturist | 220 Montgomery St Ste 305, San Francisco, CA 94104-3444 | 2006-07-12 |
| Street Address |
104 SPINK ST |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267283 | Oneeighty, Inc. | Case Management | 104 Spink St, Wooster, OH 44691-3652 | 2006-07-16 |
| 1114541000 | Rhoda Lee Williams | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-06-05 |
| 1386268274 | Amy Elizabeth Calvaruso | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-06-05 |
| 1932723525 | Erin Louise Blake | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2020-05-30 |
| 1518589100 | Alisha N Chalfant | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-05-18 |
| 1639790975 | Drew Michael Sherwood | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2020-04-28 |
| 1487285664 | Sarah Pontsler | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2020-01-28 |
| 1407486053 | Elizabeth Fugate | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-01-23 |
| 1376181164 | Rachel Grace Guidetti | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2019-12-12 |
| 1487297933 | Leah J Humphrey | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| 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 |
|---|---|---|---|---|
| 1639790975 | Drew Michael Sherwood | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2020-04-28 |
| 1376002550 | Lori Elizabeth Radakovich | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2019-03-18 |
| 1558835769 | Peggy Dile | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2019-01-22 |
| 1316417660 | Mikelanne North | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2018-11-29 |
| 1811466543 | Debra Strickler | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2018-11-26 |
| 1629547310 | Duane Vance | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2018-11-26 |
| 1619446598 | Samuel Anthony Frisone Jr. | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| 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.