KYRA PACER (NPI# 1588910418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588910418 |
| Entity Type | Individual |
| Full Name | KYRA PACER |
| Credential | PMHCNS |
| Practice Address |
340 S Broadway St Akron OH 44308-1529 |
| Practice Telephone | 3302533100 |
| Practice Fax Number | 3302535248 |
| Mailing Telephone | 3302533100 |
| Mailing Fax Number | 3302535248 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN235019-COA1 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
340 S BROADWAY ST |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797490 | Stacey Sue Kline | Pharmacist | 340 S Broadway St, Akron, OH 44308-1529 | 2005-11-19 |
| 1235736844 | Stephanie Kaye Walker | Counselor | 340 S Broadway St, Akron, OH 44308-1529 | 2020-10-06 |
| 1700499829 | Kristen Shaughnessy | Registered Nurse | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-28 |
| 1720691942 | Adam Christopher Brown | Registered Nurse | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-27 |
| 1356953079 | Kiarra King | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-24 |
| 1245849520 | Cheyenne Phillips | Case Manager/Care Coordinator | 340 S Broadway St, Akron, OH 44308-1529 | 2020-07-23 |
| 1578188009 | Jade Branch | Counselor | 340 S Broadway St, Akron, OH 44308-1529 | 2020-06-10 |
| 1295386043 | Rachael Dabkowski | Psychologist | 340 S Broadway St, Akron, OH 44308-1529 | 2019-09-24 |
| 1053961284 | Samsara Soto | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2019-09-19 |
| 1891342770 | Jusiah Prowell | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2019-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
| Find all providers in zip 44308 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1851715593 | Karen D Strickland | Clinical Nurse Specialist | 1 Akron General Ave, Akron, OH 44307-2432 | 2014-02-18 |
| 1558501098 | Susanna J. Smart | Clinical Nurse Specialist | 4125 Medina Rd, Ste.214, Akron, OH 44333-2483 | 2009-02-24 |
| 1649362336 | Patricia Kay Hall | Clinical Nurse Specialist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2006-09-29 |
| 1548278344 | Laura P Mullen | Clinical Nurse Specialist | 1 Akron General Ave, 4th Floor - Acc, Akron, OH 44307-2432 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
| 1770502288 | Roy P Walton | Clinical Nurse Specialist | 1301 Bellefontaine Ave, Lima, OH 45804-3121 | 2006-07-18 |
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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.