HEATHER NICOLOSI (NPI# 1689154080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689154080 |
Entity Type | Individual |
Full Name | HEATHER NICOLOSI |
Credential | RN |
Practice Address |
827 N Main St Marion OH 43302-1736 |
Mailing Address |
284 S State St Marion OH 43302-3940 |
Practice Telephone | 7409145000 |
Practice Fax Number | 7409145005 |
Mailing Telephone | 7409145000 |
Mailing Fax Number | 7409145005 |
Enumeration Date | 2018-08-16 |
Last Update Date | 2020-11-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
335314 | OH | Nursing Service Providers |
N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
335314 | OH | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0324248 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
284 S State St, Marion, OH 433023940 | 7409145000 | 7409145005 |
Street Address |
827 N MAIN ST |
City | MARION |
State | OH |
Zip Code | 43302-1736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346840535 | Jeffery Raudabaugh | Registered Nurse | 827 N Main St, Marion, OH 43302-1736 | 2020-10-28 |
1346853710 | Anna Claire Hundley | Case Manager/Care Coordinator | 827 N Main St, Marion, OH 43302-1736 | 2020-08-26 |
1528671872 | Elizabeth Usher | Registered Nurse | 827 N Main St, Marion, OH 43302-1736 | 2020-08-26 |
1770102089 | Day One Integrative Services LLC. | Community/Behavioral Health | 827 N Main St, Marion, OH 43302-1736 | 2020-04-16 |
1144849613 | Day One Integrative Services LLC. | Counselor | 827 N Main St, Marion, OH 43302-1736 | 2020-04-14 |
1306332564 | Day One Integrative Services LLC. | Counselor | 827 N Main St, Marion, OH 43302-1736 | 2018-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
Find all providers in zip 43302 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346840535 | Jeffery Raudabaugh | Registered Nurse | 827 N Main St, Marion, OH 43302-1736 | 2020-10-28 |
1104315704 | Tia J Wagner | Registered Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2018-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572858 | Jessica Metz | Registered Nurse | 4209 Glacier Ave Nw, Massillon, OH 44646-1429 | 2020-09-14 |
1265041792 | Joyce Ann Krivinskas | Registered Nurse | 4553 Harris Rd, Broadview Hts, OH 44147-2903 | 2020-07-30 |
1134754799 | Shannan Renee Billingsley | Registered Nurse | 6045 Waldway Ln, Cincinnati, OH 45224-2751 | 2020-03-04 |
1588136899 | Misty Dawn Buckley | Registered Nurse | 1570 S River Rd, Zanesville, OH 43701-7186 | 2018-12-27 |
1295210813 | Tyler Parsons | Registered Nurse | 303 E Cherry St, Georgetown, OH 45121-1338 | 2018-09-28 |
1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
1053803650 | Jacqueline Kay Schade | Registered Nurse | 41641 N Ridge Rd # 3, Elyria, OH 44035-1264 | 2018-05-31 |
1194220350 | Beverly Bettinger | Registered Nurse | 732s Main St, Toledo, OH 43605-2338 | 2018-03-28 |
1205366200 | Nakisha Bailey | Registered Nurse | 350 South Irwin Road, Swanton, OH 43558 | 2017-06-13 |
1164971438 | Clifford Alexander Payne | Registered Nurse | 5737 Brookside Rd, Independence, OH 44131-6012 | 2016-09-28 |
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.