HEAVENLY KEEN (NPI# 1710585104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710585104 |
| Entity Type | Individual |
| Full Name | HEAVENLY KEEN |
| Credential | LPN |
| Practice Address |
1051 N Canfield Niles Rd Youngstown OH 44515-1110 |
| Practice Telephone | 3303940144 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.165925.MEDS- | OH | Nursing Service Providers |
| Street Address |
1051 N CANFIELD NILES RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44515-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891504 | Jamie Keyser | Registered Nurse | 1051 N Canfield Niles Rd, Youngstown, OH 44515-1110 | 2020-11-07 |
| 1013515410 | Megan Case | Licensed Practical Nurse | 1051 N Canfield Niles Rd, Youngstown, OH 44515-1110 | 2020-10-16 |
| 1457959868 | Julio Salas | Registered Nurse | 1051 N Canfield Niles Rd, Youngstown, OH 44515-1110 | 2020-10-16 |
| 1508464090 | Joshua Allen Knisley | Counselor | 1051 N Canfield Niles Rd, Youngstown, OH 44515-1110 | 2020-10-15 |
| 1992303143 | Ami Turner | Licensed Practical Nurse | 1051 N Canfield Niles Rd, Youngstown, OH 44515-1110 | 2020-10-10 |
| 1376140731 | Lisa Marie Shanks-carnahan | Registered Nurse | 1051 N Canfield Niles Rd, Youngstown, OH 44515-1110 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709120 | Arieonna Dejon Smith | Licensed Practical Nurse | 203 Churchill Hubbard Rd Apt 5, Youngstown, OH 44505-1361 | 2020-08-03 |
| 1366050403 | Erica Claytor | Licensed Practical Nurse | 81 E Earle Ave, Youngstown, OH 44507-1302 | 2020-07-15 |
| 1730714296 | Darlene Karen Williams | Licensed Practical Nurse | 3045 Green Acres Dr # Dr3, Youngstown, OH 44505-2038 | 2020-03-05 |
| 1538704424 | Melanie Ross | Licensed Practical Nurse | 445 Bradley Ln, Youngstown, OH 44504-1445 | 2019-11-14 |
| 1174164925 | Chris Trikilis | Licensed Practical Nurse | 75 Struthers Liberty Rd, Youngstown, OH 44505-5007 | 2019-10-02 |
| 1609423334 | Pamela Lott | Licensed Practical Nurse | 1620 Oak St, Youngstown, OH 44506-1347 | 2019-08-19 |
| 1841845625 | Margaret Loraine Mcrae-gibson | Licensed Practical Nurse | 1520 Norman Ave, Youngstown, OH 44506-1629 | 2019-08-07 |
| 1407418403 | Tamika Wyndella Moore | Licensed Practical Nurse | 132 S Beverly Ave, Youngstown, OH 44515-3541 | 2019-07-01 |
| 1982269262 | Lynda Renee Savon | Licensed Practical Nurse | 6551 Lockwood Blvd Apt 2, Youngstown, OH 44512-3905 | 2019-05-02 |
| 1306304167 | Funda Renee Peete | Licensed Practical Nurse | 4027 Helena Ave, Youngstown, OH 44512-1204 | 2019-03-11 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on HEAVENLY KEEN.
| 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.