LINDA DETAMORE (NPI# 1700285061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700285061 |
| Entity Type | Individual |
| Full Name | LINDA DETAMORE |
| Practice Address |
3057 Cleveland Ave Sw Canton OH 44707-3625 |
| Practice Telephone | 3304849690 |
| Practice Fax Number | 3304849607 |
| Mailing Telephone | 3304849690 |
| Mailing Fax Number | 3304849607 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN. 154135 | OH | Nursing Service Providers |
| Street Address |
3057 CLEVELAND AVE SW |
| City | CANTON |
| State | OH |
| Zip Code | 44707-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083030308 | Effrat Schuldiner | Speech-Language Pathologist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-03-11 |
| 1477929057 | Rebecca Seraini | Speech-Language Pathologist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2015-08-18 |
| 1740687425 | Debra Shaw | Occupational Therapist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-11-25 |
| 1023418142 | Samantha L Henderson | Occupational Therapy Assistant | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-08-26 |
| 1548689706 | Kimberly Sue Luckring | Speech-Language Pathologist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-04-15 |
| 1457779688 | Jennifer Massar | Physical Therapist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-04-04 |
| 1770900482 | Shelley Armstrong | Occupational Therapist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-03-20 |
| 1801213517 | Janice Lynn Giffin | Speech-Language Pathologist | 3057 Cleveland Ave Sw, Canton, OH 44707-3625 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781717 | Linda Wilt | Licensed Practical Nurse | 620market Ave. S., Canton, OH 44707 | 2017-10-17 |
| 1558872622 | Michele Rose Strongoli-scott | Registered Nurse | 1620 Market Ave S., Canton, OH 44707 | 2017-10-17 |
| 1366972234 | Terri Sue Clendenin | Home Health Aide | 1317 Mattie St Sw, Canton, OH 44707 | 2017-06-14 |
| 1215467311 | Draya K Ellis | Community Health Worker | 408 9th Street Sw, Canton, OH 44707 | 2017-06-13 |
| 1720537780 | Individual | Preferred Provider Organization | 1111 Gonder Avenue Se, Canton, OH 44707 | 2016-09-30 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1184070526 | Mj Harvey Development, LLC | Day Training, Developmentally Disabled Services | 804 Marion Ave Sw, Canton, OH 44707 | 2016-05-04 |
| 1164898516 | Erica Marie Brown | Occupational Therapy Assistant | 1620 Market Ave., South, Canton, OH 44707 | 2015-08-19 |
| 1508256439 | Kenny Mcclelland | Military/U.S. Coast Guard Transport | 903 Alan Page Dr Se # Apt1, Canton, OH 44707 | 2015-01-30 |
| 1295143550 | Susan Elaine Ball | Technician | 908 6th St Sw, Canton, OH 44707 | 2014-07-30 |
| Find all providers in zip 44707 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558872622 | Michele Rose Strongoli-scott | Registered Nurse | 1620 Market Ave S., Canton, OH 44707 | 2017-10-17 |
| 1528488764 | Shala Lenee Brown | Registered Nurse | 401 14th St Se, Canton, OH 44707 | 2014-04-25 |
| 1497174288 | Mary Ann Morena | Registered Nurse | 317 Raff Rd, Canton, OH 44708 | 2014-04-09 |
| 1407270713 | Dimitri Miles | Registered Nurse | 1824 3rd St Se, Canton, OH 44707-3012 | 2014-02-06 |
| 1033451901 | Jennifer Linda Pierce | Registered Nurse | 1255 County Route 35, Canton, NY 13617-3937 | 2013-03-19 |
| 1780896670 | Caroline Bartholomew Rushforth | Registered Nurse | Davis Health Center Suny Canton, 34 Cornell Ave, Canton, NY 13617 | 2007-05-04 |
| 1215307426 | Coquette Marie Arndt | Registered Nurse | 305 Mckinley Ave Nw, Canton, OH 44702-1717 | 2015-09-30 |
| 1891192084 | Rohnda Mccloskey | Registered Nurse | 305 Mckinley Ave Nw, Canton, OH 44702 | 2014-12-03 |
| 1295146074 | Andrea Johnsen | Registered Nurse | 305 Mckinley Ave Nw, Canton City Schools, Canton, OH 44702 | 2014-05-14 |
| 1073937124 | Stephanie Nist | Registered Nurse | 305 Mckinley Ave Nw, Canton, OH 44702-1717 | 2014-02-10 |
| Find all providers in CANTON | ||||
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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.