MICHELLE SUZANNE PETTY


Address: 95 S Ireland Blvd, Ontario, OH 44906-2220
Phone: 8636774472

MICHELLE SUZANNE PETTY (NPI# 1801302690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801302690
Entity Type Individual
Full Name MICHELLE SUZANNE PETTY
Credential LPN
Practice Address 95 S Ireland Blvd
Ontario
OH 44906-2220
Practice Telephone 8636774472
Mailing Telephone 8636774472
Enumeration Date 2017-12-16
Last Update Date 2017-12-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 167093 OH Nursing Service Providers

Other Providers MICHELLE PETTY

NPI Name Taxonomy Address Enumeration
1578812533 Michelle L Petty Counselor 1412 Tech Blvd, Tampa, FL 33619-7865 2012-09-06
1598030801 Michelle L Petty Counselor 11447 2nd St, Roscoe, IL 61073-9522 2012-03-20
1639444169 Michelle Elizabeth Petty Adult Companion 2330 Ne Siskiyou St, Portland, OR 97212-2471 2012-03-16

Office Location

Street Address 95 S IRELAND BLVD
City ONTARIO
State OH
Zip Code 44906-2220

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154920155 Jonathan Clevenger Pharmacist 1455 North Lexington-springmill Road, Ontario, OH 44906 2020-10-21
1366083297 Jennifer Robin Young Technician 60 Sherman Ave, Mansfield, OH 44906 2019-10-02
1639721905 Lora Harris Nurse Practitioner 1029 S. Trimble Rd, Mansfield, OH 44906 2019-07-16
1871098855 Med Gear Plus, LLC Durable Medical Equipment & Medical Supplies 1041 Park Ave W, Mansfield, OH 44906 2018-03-29
1912401209 Bradley Anderson Dietitian, Registered 1025 South Trimble Rd., Mansfield, OH 44906 2018-03-21
1104325182 Nancy Labaki Speech-Language Pathologist 2011 W. Fourth St., Mansfield, OH 44906 2018-02-06
1720518319 Stephen Anderson Counselor 680 Park Ave W., Mansfield, OH 44906 2017-06-15
1427422518 Jill A Waite Counselor 33 S. Lexington-springmill Road, Mansfield, OH 44906 2015-11-30
1992125397 Taryn Boyd Physical Therapist 1025 S Trimble, Mansfield, OH 44906 2014-04-24
1356760870 Sarah Brandyberry Social Worker 1025 S. Trimble Rd., Mansfield, OH 44906 2014-04-11
Find all providers in zip 44906

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962041921 Lindsay Rae Paris Licensed Practical Nurse 2111 Bear Creek Dr, Ontario, NY 14519-9730 2019-12-22
1154969061 Cynthia K Phelps Licensed Practical Nurse 3575 Park Ave W, Ontario, OH 44906-1048 2019-12-11
1922663343 Angelica Lynnette Vega Licensed Practical Nurse 146 State Route 104 Apt 4e, Ontario, NY 14519-8944 2019-05-01
1508321126 Kelley M Schneider Licensed Practical Nurse 165 Macintosh Rd, Ontario, NY 14519-8821 2019-02-07
1346710480 Jamie Ann Brown Licensed Practical Nurse 2036 Willowood Dr N, Ontario, OH 44906-1764 2018-12-02
1538681267 Angela M Brown Licensed Practical Nurse 2173 Ridge Rd, Ontario, NY 14519-9556 2017-07-14
1972057792 Sheryl Sommers Licensed Practical Nurse 146 State Route 104 Apt 5a, Ontario, NY 14519-8945 2016-08-10
1588118665 Theresa Clark Licensed Practical Nurse 6541 Furnace Rd, Ontario, NY 14519-9701 2016-08-07
1770946618 Ashley Grimshaw Licensed Practical Nurse 2201 Bear Creek Dr, Ontario, NY 14519-9725 2016-03-29
1811353980 Marcia Woodard Licensed Practical Nurse 341 Haley Rd, Ontario, NY 14519-9174 2016-01-05
Find all providers in ONTARIO

Competitor

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City ONTARIO
Zip Code 44906

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Dataset Information

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.

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