SALLY MAE SHULL-DIENER (NPI# 1629028477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629028477 |
Entity Type | Individual |
Full Name | SALLY MAE SHULL-DIENER |
Credential | CNP |
Practice Address |
4640 W Alexis Rd Toledo OH 43623-1006 |
Practice Telephone | 4198438150 |
Practice Fax Number | 4194792579 |
Mailing Telephone | 4198438150 |
Mailing Fax Number | 4194792579 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2011-03-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NP08368 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM | PENDING | 01 |
OH | RRMC | P00301721 | 01 |
OH | 2614559 | 05 | |
OH | ANTHEM | 000000475788 | 01 |
Street Address |
4640 W ALEXIS RD |
City | TOLEDO |
State | OH |
Zip Code | 43623-1006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013915289 | Timothy B Hacker | Internal Medicine | 4640 W Alexis Rd, Toledo, OH 43623-1006 | 2005-07-12 |
1407106925 | Hacker, Hopple, Grossman, Wenzke Medical Group, Inc. | Internal Medicine | 4640 W Alexis Rd, Toledo, OH 43623-1182 | 2012-09-12 |
1316088735 | Promedica Central Physicians, LLC | Internal Medicine | 4640 W Alexis Rd, Toledo, OH 43623-1006 | 2007-02-09 |
1588767958 | Charles Elliot Latham | Dentist | 4640 W Alexis Rd, Toledo, OH 43623-1006 | 2006-09-07 |
1528051455 | Eugenia J Ilo | Internal Medicine | 4640 W Alexis Rd, Toledo, OH 43623-1182 | 2005-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
Find all providers in zip 43623 |
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 |
---|---|---|---|---|
1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
1801351689 | Dalila Saleh | Nurse Practitioner | 2778 Sweetbriar Ct, Toledo, OH 43615-1867 | 2019-02-05 |
1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
1528410032 | Sarah Behnfeldt | Nurse Practitioner | 3355 Glendale Ave., 3rd Floor, Toledo, OH 43614 | 2016-07-08 |
1144639550 | Stephanie A Jagodzinski | Nurse Practitioner | 3430 Secor Rd Ste 425, Toledo, OH 43606-1547 | 2014-08-11 |
1730436395 | Regina Marie Woodson | Nurse Practitioner | 4441 Dunloe Ct, Toledo, OH 43615-6032 | 2012-08-13 |
1407133697 | Jessica R Grove | Nurse Practitioner | 1913 Belvoir Dr, Toledo, OH 43613-2801 | 2011-11-16 |
1427335447 | Sara C Webb | Nurse Practitioner | 615 Division St, Toledo, OH 43604 | 2011-11-04 |
1215188990 | Rachel Karchner | Nurse Practitioner | 2109 Hughes Dr Ste 760, Toledo, OH 43606-5111 | 2008-10-01 |
1881861052 | Hcr Manor Care Medical Services of Florida LLC | Nurse Practitioner | 333 N Summit St Fl 7, Toledo, OH 43604-1531 | 2008-05-15 |
Find all providers in TOLEDO |
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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.