JANE A SIDWELL (NPI# 1821508342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821508342 |
| Entity Type | Individual |
| Full Name | JANE A SIDWELL |
| Practice Address |
8064 South Ave Boardman OH 44512-6153 |
| Mailing Address |
20265 Emery Rd North Randall OH 44128-4122 |
| Practice Telephone | 4405239966 |
| Practice Fax Number | 2165842895 |
| Mailing Telephone | 4405239966 |
| Mailing Fax Number | 2165842895 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
APRN.CNS.16810 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8064 SOUTH AVE |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-6153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023054194 | Trans Healthcare of Ohio Inc | Rehabilitation Hospital | 8064 South Ave, Suite 1, Boardman, OH 44512-6153 | 2006-06-20 |
| 1114409653 | Nicole Price | Speech-Language Pathologist | 8064 South Ave, Boardman, OH 44512-6153 | 2018-08-31 |
| 1174899439 | Angela Schaper | Physical Therapy Assistant | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-30 |
| 1316213671 | Kristin Underhill | Physical Therapist | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-30 |
| 1619243466 | Desiree Lynn Maxon | Physical Therapy Assistant | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-27 |
| 1962778795 | Melissa Sue Halverstadt | Occupational Therapy Assistant | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-27 |
| 1265708010 | Misty Mahon | Occupational Therapy Assistant | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-27 |
| 1497021240 | Ann Carenbauer | Physical Therapy Assistant | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-27 |
| 1831465681 | Sarah Corll | Physical Therapy Assistant | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-27 |
| 1649546789 | Carrie J Rayl | Occupational Therapy Assistant | 8064 South Ave, Boardman, OH 44512-6153 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
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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.