GLEN ROBERT WILLIAMS JR. (NPI# 1437774544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437774544 |
| Entity Type | Individual |
| Full Name | GLEN ROBERT WILLIAMS JR. |
| Credential | NURSING |
| Practice Address |
6847 N Chestnut St Ravenna OH 44266-3929 |
| Practice Telephone | 8447681193 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
288701 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316034119 | Glen Williams | Psychologist | 1600 A St Ste 104, Anchorage, AK 99501-5146 | 2006-10-05 |
| 1346412129 | Glen Williams | Case Manager/Care Coordinator | 918 Madison St, Everett, WA 98203-4542 | 2008-04-01 |
| Street Address |
6847 N CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078306 | Stephanie J Teodosio | Occupational Therapist | 6847 N Chestnut St, Suite 100, Ravenna, OH 44266-3929 | 2005-10-25 |
| 1356949010 | Kimberly Sue Neubig | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-15 |
| 1467059956 | Korena L Mulloy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-07 |
| 1104439553 | Temitope A Adeleke | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-08-26 |
| 1811505175 | Lindsay Hall | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-07-22 |
| 1568089175 | James Ferrell | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-30 |
| 1497379408 | Lauren R Lewis | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-04 |
| 1780208140 | Alexis Hughley | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-02 |
| 1811511488 | Carrie Reedy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-05-30 |
| 1073136776 | Amanda Lynn Soltis | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-05-28 |
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| 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 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 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 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583634 | Nancy Lee Esposito | Registered Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572858 | Jessica Metz | Registered Nurse | 4209 Glacier Ave Nw, Massillon, OH 44646-1429 | 2020-09-14 |
| 1265041792 | Joyce Ann Krivinskas | Registered Nurse | 4553 Harris Rd, Broadview Hts, OH 44147-2903 | 2020-07-30 |
| 1134754799 | Shannan Renee Billingsley | Registered Nurse | 6045 Waldway Ln, Cincinnati, OH 45224-2751 | 2020-03-04 |
| 1588136899 | Misty Dawn Buckley | Registered Nurse | 1570 S River Rd, Zanesville, OH 43701-7186 | 2018-12-27 |
| 1295210813 | Tyler Parsons | Registered Nurse | 303 E Cherry St, Georgetown, OH 45121-1338 | 2018-09-28 |
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1053803650 | Jacqueline Kay Schade | Registered Nurse | 41641 N Ridge Rd # 3, Elyria, OH 44035-1264 | 2018-05-31 |
| 1194220350 | Beverly Bettinger | Registered Nurse | 732s Main St, Toledo, OH 43605-2338 | 2018-03-28 |
| 1205366200 | Nakisha Bailey | Registered Nurse | 350 South Irwin Road, Swanton, OH 43558 | 2017-06-13 |
| 1164971438 | Clifford Alexander Payne | Registered Nurse | 5737 Brookside Rd, Independence, OH 44131-6012 | 2016-09-28 |
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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.