JAMIE R ETHRIDGE (NPI# 1548633985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548633985 |
| Entity Type | Individual |
| Full Name | JAMIE R ETHRIDGE |
| Credential | CNP |
| Practice Address |
20800 Center Ridge Rd Ste 101 Rocky River OH 44116-4312 |
| Mailing Address |
27025 Oakwood Cir Apt 128 Olmsted Falls OH 44138-3619 |
| Practice Telephone | 4403318744 |
| Mailing Telephone | 4402254711 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
17610-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0163000 | 05 |
| Street Address |
20800 CENTER RIDGE RD STE 101 |
| City | ROCKY RIVER |
| State | OH |
| Zip Code | 44116-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194733915 | Mary J Nowicki | Midwife | 20800 Center Ridge Rd, Rocky River, OH 44116-4312 | 2006-08-04 |
| 1265039069 | Lauren Marie Bagoly | Social Worker | 20800 Center Ridge Rd, Rocky River, OH 44116-4312 | 2020-10-05 |
| 1336785765 | Developed Medical LLC | Durable Medical Equipment & Medical Supplies | 20800 Center Ridge Rd, Rocky River, OH 44116-4312 | 2019-11-20 |
| 1366908766 | Darian L Scott | Counselor | 20800 Center Ridge Rd, Rocky River, OH 44116-4312 | 2019-02-11 |
| 1144753179 | Elizabeth Anne Hird | Social Worker | 20800 Center Ridge Rd, 410, Rocky River, OH 44116-4312 | 2017-04-06 |
| 1740713932 | Monika Bogdanowicz | Counselor | 20800 Center Ridge Rd, Rocky River, OH 44116-4312 | 2017-04-05 |
| 1124406715 | Center for Effective Living Inc. | Community/Behavioral Health | 20800 Center Ridge Rd, Rocky River, OH 44116-4312 | 2015-05-14 |
| 1578986907 | Planned Parenthood of Greater Ohio | Clinic/Center | 20800 Center Ridge Rd, Suite 101, Rocky River, OH 44116-4312 | 2014-01-21 |
| 1538304514 | Bzkz Inc. | Home Health | 20800 Center Ridge Rd, #100, Rocky River, OH 44116-4312 | 2008-12-04 |
| 1619158110 | Brent A. Basile, Msw, LLC | Social Worker | 20800 Center Ridge Rd, Suite 324, Rocky River, OH 44116-4312 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902319148 | Cory Randall Lamar | Chiropractor | 21820 Center Ridge Rd, Rocky River, OH 44116 | 2017-11-09 |
| 1376065722 | Cle Physical Therapy LLC | Physical Therapy Assistant | 20340 Center Ridge Road, Rocky River, OH 44116 | 2017-07-07 |
| 1649709056 | Kevin Skrzyniecki | Physical Therapist | 2651 Hampton Rd, Rocky River, OH 44116 | 2017-06-08 |
| 1144610163 | Meagan Prost | Counselor | 20525 Detroit Rd Ste 8, Rocky River, OH 44116 | 2015-01-28 |
| 1760813984 | Mary Jo Mcnamara | Registered Nurse | 1724 Wooster Rd, Rocky River, OH 44116 | 2013-12-13 |
| 1093157232 | Rebecca M Kondrich | Social Worker | 20088 Center Ridge Rd Ste 101, Rocky River, OH 44116 | 2013-07-29 |
| 1326481169 | Sara A. Schrecengost | Counselor | 20800 Center Ridge Road, Suite 401, Rocky River, OH 44116 | 2013-04-11 |
| 1164764718 | Walter S Grossman | Dentist | 20575 Center Ridge Road, Suite 400, Rocky River, OH 44116 | 2013-03-21 |
| 1255654794 | Gregory L Chaplin | Physical Therapist | 2921 Lakeview Avenue, Rocky River, OH 44116 | 2010-03-11 |
| 1730325069 | Holly Elizabeth Kirk | Counselor | 20525 Center Ridge Rd Ste 403, Rocky River, OH 44116 | 2008-12-16 |
| Find all providers in zip 44116 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497004691 | Ellen M Minerd | Nurse Practitioner | 1250 Linda St Ste 103, Rocky River, OH 44116-1854 | 2012-09-04 |
| 1134485329 | Summer Alia Blair | Nurse Practitioner | 1250 Linda St, Suite 103, Rocky River, OH 44116-1853 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY RIVER |
| Zip Code | 44116 |
Please comment or provide details below to improve the information on JAMIE R ETHRIDGE.
| 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.