LISA A KODEK (NPI# 1790762466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790762466 |
| Entity Type | Individual |
| Full Name | LISA A KODEK |
| Credential | CNP |
| Practice Address |
12300 Mccracken Rd Garfield Hts OH 44125-2914 |
| Mailing Address |
Po Box 73327n Cleveland OH 44193-1094 |
| Practice Telephone | 2165810500 |
| Mailing Telephone | 4408790081 |
| Mailing Fax Number | 4408790084 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP04700 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2185844 | 05 | |
| OH | ANTHEM | 000000345085 | 01 |
| Street Address |
12300 MCCRACKEN RD |
| City | GARFIELD HTS |
| State | OH |
| Zip Code | 44125-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027972 | Diane Chernin | Obstetrics & Gynecology | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2005-10-17 |
| 1922590546 | Kelsee Carter | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2018-05-30 |
| 1568970564 | Andrea Evers | Physical Therapist | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2018-01-12 |
| 1376086223 | Thamar Simplice | Social Worker | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2016-11-27 |
| 1366855108 | Anna-rita Tamayo | Physical Therapist | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2014-06-10 |
| 1063825743 | Marymount Hospital | Pharmacy | 12300 Mccracken Rd, Garfield Hts, OH 44125 | 2014-06-10 |
| 1265844914 | Jennifer Rose Dlugoss | Physical Therapist | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2014-05-29 |
| 1144631854 | Catherine Likozar-cup | Physical Therapist | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2014-05-15 |
| 1194136960 | Scott Mathew Tremmel | Physical Therapist | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2014-05-15 |
| 1366862021 | Shirely Stalzer | Pharmacist | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852268 | Rosemary B. Field | Registered Nurse | 12500 Mccracken Rd, Garfield Heights, OH 44125 | 2020-05-13 |
| 1720639040 | Unique Jones | Technician | 8137 Reed Ave, Garfield Hts, OH 44125 | 2019-09-27 |
| 1215404736 | Lauren Deniese Taylor | Nurse Practitioner | Marymount Hospital, 12300 Mccracken Road, Garfield Heights, OH 44125 | 2018-11-02 |
| 1023599925 | Fresenius Medical Care Garfield Heights Home, LLC | Clinic/Center | 9729 Granger Rd, Garfield Heights, OH 44125 | 2018-08-28 |
| 1306326939 | John Paul Allison | Nurse Practitioner | 12300 Mckraken Road, Garfield Heights, OH 44125 | 2018-08-14 |
| 1629573944 | Chelsee Christine Williams | Case Manager/Care Coordinator | 12395 Mccraken Rd Suite A, Garfield Heights, OH 44125 | 2018-03-28 |
| 1730605908 | Shauntae Patterson | Home Health | 8133 Garfield Blvd Upstairs, Garfield Heights, OH 44125 | 2017-08-18 |
| 1134643398 | Velma Charis George | Licensed Practical Nurse | 11414 Mccracken Road, Garfield Hts, OH 44125 | 2017-07-31 |
| 1528591450 | Joanne Biltz Biltz | Speech-Language Pathologist | 12801 Bangor, Garfield Heights, OH 44125 | 2017-04-07 |
| 1235670340 | Mike Johanek | Pharmacist | 8333 Rockside Road, Valley View, OH 44125 | 2017-03-09 |
| Find all providers in zip 44125 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043298110 | Judith W Wilson | Nurse Practitioner | 13200 Mccracken Rd, Garfield Hts, OH 44125-1906 | 2006-01-09 |
| 1750321873 | Timothy R Smith | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2006-06-07 |
| 1982644076 | Catherine M Cerny | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2006-06-07 |
| 1215917372 | Roberta A Stokes | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2006-01-17 |
| 1134107204 | Ellen M Iacovone | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2006-01-09 |
| 1699752360 | Karen S Slanoc | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2005-12-23 |
| 1720063407 | Karen J Brenner | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2005-12-14 |
| 1023093242 | Lee A Niro | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2005-12-09 |
| 1871578096 | Andrea K Lowery | Nurse Practitioner | 12300 Mccracken Rd, Garfield Hts, OH 44125-2914 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407497 | Brooke Ashley Sforza | Nurse Practitioner | 7518 Linnville Rd, Newark, OH 43056-9340 | 2020-11-03 |
| 1295335289 | Ipsa Patel | Nurse Practitioner | 3143 Elora Ln, Fairfield Township, OH 45011-0532 | 2020-10-28 |
| 1043810476 | Rylee Fishman | Nurse Practitioner | 5492 Crossbridge Dr, West Chester, OH 45069-1682 | 2020-10-26 |
| 1467051318 | Tylyn Bova | Nurse Practitioner | 26550 Hoop Rd, Freeport, OH 43973-9013 | 2020-10-21 |
| 1558960674 | Alicia Walls-holler | Nurse Practitioner | 5947 S Jay Rd, West Milton, OH 45383-7722 | 2020-10-20 |
| 1184223513 | Ryan Matthew Costlow | Nurse Practitioner | 5605 Madrid Dr, Austintown, OH 44515-4136 | 2020-10-16 |
| 1699373886 | Erin Lea Williams | Nurse Practitioner | 5828 Winshire Dr, Canal Winchester, OH 43110-8791 | 2020-10-11 |
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1780281337 | Lisa Cowles | Nurse Practitioner | 9200 Worthington Rd Ste 300, Westerville, OH 43082-7240 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | GARFIELD HTS |
| Zip Code | 44125 |
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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.