JARED ANDREW MORT (NPI# 1538701933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538701933 |
Entity Type | Individual |
Full Name | JARED ANDREW MORT |
Credential | APRN, CNS |
Practice Address |
2792 Rhett Dr Beavercreek OH 45434-6259 |
Practice Telephone | 2104888143 |
Mailing Telephone | 2104888143 |
Enumeration Date | 2019-10-17 |
Last Update Date | 2019-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
11004509 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA BOARD OF NURSING APRN LICENSE AS A CLINICAL NURSE SPECIA | 11004509 | 01 |
Street Address |
2792 RHETT DR |
City | BEAVERCREEK |
State | OH |
Zip Code | 45434-6259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
Find all providers in zip 45434 |
Taxonomy Code | 364SG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336555069 | Kelly Dion | Clinical Nurse Specialist | 4110 Warrensville Center Road, Warrensville Heights, OH 44122 | 2014-07-02 |
1093955072 | Kathleen Ellen Meyer | Clinical Nurse Specialist | 3696 Beverly Hills Dr, Rocky River, OH 44116-3745 | 2009-03-03 |
1619094182 | Sue E. Moore | Clinical Nurse Specialist | 270 S Grant Ave, Columbus, OH 43215-5334 | 2007-03-22 |
1225017114 | Kathleen A. Ondus | Clinical Nurse Specialist | 1130 Tower Blvd Ste B, Lorain, OH 44052-5200 | 2006-01-10 |
1457909624 | Mckenzie Givhan Mason | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2711 | 2019-08-29 |
1073165999 | Kayla Marie Little | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-11 |
1295202026 | Kathleen Bolton | Clinical Nurse Specialist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2018-10-30 |
1497238638 | Karen N Meade | Clinical Nurse Specialist | 460 W 10th Ave Fl 20, Columbus, OH 43210-1240 | 2018-09-13 |
1396244687 | Holly Jo Long | Clinical Nurse Specialist | 8087 Washington Village Dr Ste 120, Dayton, OH 45458-1873 | 2018-02-02 |
1629580618 | Elizabeth Dale Weaver | Clinical Nurse Specialist | 500 Thomas Ln, Columbus, OH 43214-1401 | 2017-10-30 |
Find all providers with the same taxonomy |
City | BEAVERCREEK |
Zip Code | 45434 |
Please comment or provide details below to improve the information on JARED ANDREW MORT.
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.