JODI K TEBBE (NPI# 1790271088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790271088 |
| Entity Type | Individual |
| Full Name | JODI K TEBBE |
| Credential | APRN-CNS |
| Practice Address |
801 Pro Dr Ste A Celina OH 45822-3301 |
| Mailing Address |
6265 Dirksen Rd Maria Stein OH 45860-9775 |
| Practice Telephone | 4195863113 |
| Mailing Telephone | 4199537351 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
APRN.CNS.019382 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
APRN.CNS.019382 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 PRO DR STE A |
| City | CELINA |
| State | OH |
| Zip Code | 45822-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931775 | Nancy Lynn Wolters | Nurse Practitioner | 801 Pro Dr Ste A, Celina, OH 45822-3301 | 2005-11-30 |
| 1457981193 | Alisha M Metz | Family Medicine | 801 Pro Dr Ste A, Celina, OH 45822-3301 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974014 | Emily Marie Metz | Speech-Language Pathologist | 715 E Wayne St, Celina, OH 45822 | 2017-07-14 |
| 1184161069 | Lyndie Brown | Speech-Language Pathologist | 903 East Wayne Street, Celina, OH 45822 | 2017-01-30 |
| 1225582752 | Momentum Counseling and Consultation, LLC | Social Worker | 427 E Market St, Celina, OH 45822 | 2016-08-13 |
| 1821497546 | Mindy Muhlenkamp | Occupational Therapist | 441 East Market Street, Celina, OH 45822 | 2014-08-19 |
| 1609136951 | Aaron D. Kuhn | Marriage & Family Therapist | 316 W. Market St, Celina, OH 45822 | 2012-05-21 |
| 1740436252 | Luis L. Perez | Family Medicine | 801 Pro Dr Ste D1, Celina, OH 45822 | 2008-08-15 |
| 1356538664 | Assisted Living Concepts Inc | Assisted Living Facility | 1506 Meadowview Drive, Celena, OH 45822 | 2007-10-01 |
| 1336369800 | Mercer County Board of Mrdd | Case Management | 4980 Mud Pike, Celina, OH 45822 | 2007-04-26 |
| 1720101371 | Mercer Residential Services Inc. | Supports Brokerage | 420 Sugar St, Celina, OH 45822 | 2007-04-09 |
| 1831236264 | Kristina M Goffena | Massage Therapist | 6673 Coldwater Beach Rd, Celina, OH 45822 | 2007-02-01 |
| Find all providers in zip 45822 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701933 | Jared Andrew Mort | Clinical Nurse Specialist | 2792 Rhett Dr, Beavercreek, OH 45434-6259 | 2019-10-17 |
| 1336555069 | Kelly Dion | Clinical Nurse Specialist | 4110 Warrensville Center Road, Warrensville Heights, OH 44122 | 2014-07-02 |
| 1093955072 | Kathleen Ellen Meyer | Clinical Nurse Specialist | 3696 Beverly Hills Dr, Rocky River, OH 44116-3745 | 2009-03-03 |
| 1619094182 | Sue E. Moore | Clinical Nurse Specialist | 270 S Grant Ave, Columbus, OH 43215-5334 | 2007-03-22 |
| 1225017114 | Kathleen A. Ondus | Clinical Nurse Specialist | 1130 Tower Blvd Ste B, Lorain, OH 44052-5200 | 2006-01-10 |
| 1457909624 | Mckenzie Givhan Mason | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2711 | 2019-08-29 |
| 1073165999 | Kayla Marie Little | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-11 |
| 1295202026 | Kathleen Bolton | Clinical Nurse Specialist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2018-10-30 |
| 1497238638 | Karen N Meade | Clinical Nurse Specialist | 460 W 10th Ave Fl 20, Columbus, OH 43210-1240 | 2018-09-13 |
| 1396244687 | Holly Jo Long | Clinical Nurse Specialist | 8087 Washington Village Dr Ste 120, Dayton, OH 45458-1873 | 2018-02-02 |
| 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.