KENNETH KNOECHEL (NPI# 1588271886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588271886 |
Entity Type | Individual |
Full Name | KENNETH KNOECHEL |
Credential | CDCA |
Practice Address |
1411 N Fairfield Rd Beavercreek OH 45432-2637 |
Practice Telephone | 9374262686 |
Practice Fax Number | 9374266230 |
Mailing Telephone | 9374262686 |
Mailing Fax Number | 9374266230 |
Enumeration Date | 2020-09-30 |
Last Update Date | 2020-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 141547 | OH | Student, Health Care |
Street Address |
1411 N FAIRFIELD RD |
City | BEAVERCREEK |
State | OH |
Zip Code | 45432-2637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659371292 | Patricia A Kaniuga | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2658 | 2005-07-26 |
1134734981 | Melanie Solano | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2020-09-09 |
1619590148 | Richard Tuff | Registered Nurse | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2020-05-19 |
1225695349 | Jill Bloomer | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2019-05-23 |
1558927350 | Kira Settingsgaard | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2019-05-16 |
1205390762 | Callie A Stewart | Case Manager/Care Coordinator | 1411 N Fairfield Rd, Beavercreek, OH 45432 | 2019-01-29 |
1790249811 | Linda Hylton | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2019-01-23 |
1255804886 | Doneka Ivy-marsh | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2019-01-07 |
1386116929 | Dawn M Downing | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2018-12-20 |
1417431966 | Megan L Wiley | Social Worker | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2018-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
Find all providers in zip 45432 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
1568091254 | Emily Mahran | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-03 |
1124656327 | Alexander Joseph Koehler | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-01 |
1013545540 | Michelle Renee Axe | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-30 |
1104454982 | Emily Rawlings | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
1720616428 | Kyler Benjamin Dykes | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
1205463205 | Chelsea Brunsman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
1982232807 | Nimisha Swali | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
Find all providers in BEAVERCREEK |
City | BEAVERCREEK |
Zip Code | 45432 |
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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.