MRS. CHRISTINE LORRAINE BUMGARDNER (NPI# 1699825901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699825901 |
Entity Type | Individual |
Full Name | MRS. CHRISTINE LORRAINE BUMGARDNER |
Credential | APRN, CNS |
Practice Address |
15802 State Route 104 Chillicothe OH 45601-9701 |
Mailing Address |
72 Gullette Dr Chillicothe OH 45601-9795 |
Practice Telephone | 7407747080 |
Mailing Telephone | 7407744283 |
Enumeration Date | 2007-01-11 |
Last Update Date | 2013-01-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN. 183506 | OH | Nursing Service Providers |
N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
NS-03462 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CTP # RX. 03462 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
15802 STATE ROUTE 104 |
City | CHILLICOTHE |
State | OH |
Zip Code | 45601-9701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285107300 | Stephanie Michelle Patterson | Counselor | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2019-01-11 |
1699286500 | Alicia Saum | Social Worker | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2017-10-18 |
1194252361 | Darren Craig Morrow Sr. | Counselor | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2017-05-17 |
1598179459 | Jennifer Kutys | Psychologist | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2014-06-18 |
1417361338 | Debra Ann Carrero | Counselor | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2014-06-18 |
1134544067 | Peggy Blackburn | Dental Hygienist | 15802 State Route 104, Chillicothe, OH 45601-9701 | 2014-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
Find all providers in zip 45601 |
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 |
---|---|---|---|---|
1316134315 | Constance Renee Riquelme | Clinical Nurse Specialist | 4449 State Route 159, Chillicothe, OH 45601-8620 | 2007-10-03 |
1013023373 | Peggy Foster | Clinical Nurse Specialist | 4449 State Route 159, Chillicothe, OH 45601-8620 | 2006-08-21 |
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 |
City | CHILLICOTHE |
Zip Code | 45601 |
Please comment or provide details below to improve the information on MRS. CHRISTINE LORRAINE BUMGARDNER.
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.