ALEXANDRA KRISTINE SHIVERS (NPI# 1578193967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578193967 |
| Entity Type | Individual |
| Full Name | ALEXANDRA KRISTINE SHIVERS |
| Practice Address |
250 Debartolo Pl Youngstown OH 44512-7004 |
| Mailing Address |
697 E 15th St Salem OH 44460-1251 |
| Practice Telephone | 3307298380 |
| Practice Fax Number | 3307298399 |
| Mailing Telephone | 2345647586 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 207PH0002X | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 DEBARTOLO PL |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794129 | Asad Azarvan | Radiology | 250 Debartolo Pl, Youngstown, OH 44512-7004 | 2005-07-19 |
| 1841780467 | Maria Ann Hendrix | Nurse Practitioner | 250 Debartolo Pl, Youngstown, OH 44512-7004 | 2018-05-18 |
| 1477731073 | St Elizabeth Southwoods Imaging LLC | Clinic/Center | 250 Debartolo Pl, Bldg B, Youngstown, OH 44512-7004 | 2008-02-06 |
| 1144341462 | David J. Dunch, M. D., Inc. | Colon & Rectal Surgery | 250 Debartolo Pl, Suite 1640, Youngstown, OH 44512-7004 | 2007-04-03 |
| 1154357754 | The Heart Center of Northeastern Ohio Inc | Internal Medicine | 250 Debartolo Pl, Suite 2750, Youngstown, OH 44512-7004 | 2006-06-24 |
| 1467491845 | Southwood Pet Scan, LLC | Radiology | 250 Debartolo Pl, Building B, Youngstown, OH 44512-7004 | 2006-06-04 |
| 1457339376 | David J Dunch | Colon & Rectal Surgery | 250 Debartolo Pl, Suite 1640, Youngstown, OH 44512-7004 | 2006-01-03 |
| 1215919071 | Richard Thomas Esper | Internal Medicine | 250 Debartolo Pl, Suite 2750, Youngstown, OH 44512-7004 | 2005-11-17 |
| 1003807025 | Jeffrey C Halley | Internal Medicine | 250 Debartolo Pl, Suite 2750, Youngstown, OH 44512-7004 | 2005-10-31 |
| 1114917432 | Keith H Kuppler | Internal Medicine | 250 Debartolo Pl, Suite 2750, Youngstown, OH 44512-7004 | 2005-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872864 | Kimberley Amber Clark | Nurse Practitioner | 7629 Market St Ste 200, Youngstown, OH 44512-6082 | 2019-07-01 |
| 1730789181 | Dinesha Robinson | Nurse Practitioner | 4531 Belmont Ave Ste 9, Youngstown, OH 44505-1041 | 2020-10-27 |
| 1649887142 | Vanessa D'angelo | Nurse Practitioner | 987 Boardman Canfield Rd, Youngstown, OH 44512-4222 | 2020-09-28 |
| 1245844802 | Ashley Vidale | Nurse Practitioner | 1499 Boardman Canfield Rd, Youngstown, OH 44512-4008 | 2020-09-01 |
| 1679181267 | Mary Carchedi | Nurse Practitioner | 3499 Belmont Ave, Youngstown, OH 44505-1807 | 2020-07-20 |
| 1184261877 | Danielle Lynn Scianna | Nurse Practitioner | 8175 Market St, Youngstown, OH 44512-6244 | 2019-12-02 |
| 1912552704 | Alyvia Marie Allegretto | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2019-08-07 |
| 1538653290 | Alana Michelle Ward | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2018-06-18 |
| 1841780467 | Maria Ann Hendrix | Nurse Practitioner | 250 Debartolo Pl, Youngstown, OH 44512-7004 | 2018-05-18 |
| 1538677208 | Carmen Elena Miranda | Nurse Practitioner | 1340 Belmont Ave Ste 2200, Youngstown, OH 44504 | 2018-01-16 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
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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.