MS. MARY T. HARRISON (NPI# 1629006721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629006721 |
| Entity Type | Individual |
| Full Name | MS. MARY T. HARRISON |
| Credential | M.S.N., R.N., C.S. |
| Practice Address |
6140 S Broadway Lorain OH 44053-3821 |
| Practice Telephone | 4402337232 |
| Practice Fax Number | 4402339070 |
| Mailing Telephone | 4402337232 |
| Mailing Fax Number | 4402339070 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
COA06845NS | OH | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
NS-06845 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891286 | Mary Faith Harrison | Technician | 12303 Harbour Pointe Blvd Unit S108, Mukilteo, WA 98275-5213 | 2020-01-31 |
| 1881980159 | Mary E Harrison | Licensed Practical Nurse | 727 Wallace St, York, PA 17403-1336 | 2011-06-24 |
| 1669761136 | Mary Elizabeth Harrison | Obstetrics & Gynecology | 511 Oakwood Blvd., Suite 301, Round Rock, TX 78681-4068 | 2011-04-05 |
| 1063721702 | Mary E Harrison | Physical Therapist | 115 Hamilton Rd, Chappaqua, NY 10514-3206 | 2010-09-29 |
| 1821310293 | Mary Harrison | Licensed Practical Nurse | 1159 Yonkers Ave Apt 2e, Yonkers, NY 10704-3254 | 2010-02-25 |
| 1083795389 | Mary Waynette Harrison | Registered Nurse | James A Taylor Campus Health, Cb# 7470 James A Taylor Bldg., Chapel Hill, NC 27514 | 2006-10-17 |
| 1376574079 | Mary E Harrison | Nurse Practitioner | 330 Paseo Del Pueblo Sur, Unit C, Taos, NM 87571-5219 | 2006-07-05 |
| 1447614359 | Mary Ellen Harrison | Family Medicine | 111 Colchester Ave, Mailstop 416sa1, Burlington, VT 05401-1473 | 2016-04-06 |
| 1083089148 | Mary T Harrison | Counselor | 800 Hospital Dr, Truman Va Hospital, Columbia, MO 65201-5275 | 2015-12-01 |
| 1003244021 | Mary Allene Harrison | Nurse Practitioner | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2013-10-30 |
| Street Address |
6140 S BROADWAY |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751796 | Manuel Enrique Gordillo Sr. | Specialist | 6140 S Broadway, Lorain, OH 44053-3891 | 2005-06-22 |
| 1447858964 | Raymone Letroy Wells Jr. | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-10-16 |
| 1932707734 | Rachel Elizabeth Porrello | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-10-14 |
| 1336756634 | Laura Lynn Weppler | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-30 |
| 1902412307 | Janelle Kinney | Social Worker | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-21 |
| 1699381004 | Melanie Anne Glavic | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-21 |
| 1619583101 | Momoko H Barton | Social Worker | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-20 |
| 1245845551 | Alexis Feronti | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-14 |
| 1659986537 | Glen Allan Morse | Licensed Practical Nurse | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-09 |
| 1346854569 | Kathryn Ann Carico | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| 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 |
|---|---|---|---|---|
| 1972845188 | Dawn Elizabeth Dunaway | Clinical Nurse Specialist | 3700 Kolbe Rd, Behavioral Health Unit of Mercy Regional Health Center, Lorain, OH 44053-1611 | 2013-03-26 |
| 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 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.