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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 167093 | OH | Nursing Service Providers |
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 |
Street Address |
95 S IRELAND BLVD |
City | ONTARIO |
State | OH |
Zip Code | 44906-2220 |
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 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 |
---|---|---|---|---|
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 |
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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.