BROOKE M CASSIDY (NPI# 1831507540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831507540 |
| Entity Type | Individual |
| Full Name | BROOKE M CASSIDY |
| Credential | CNP |
| Practice Address |
575 O-g Road Suite 3 Ottawa OH 45875-9426 |
| Practice Telephone | 4195234449 |
| Practice Fax Number | 4195236328 |
| Mailing Telephone | 4195234449 |
| Mailing Fax Number | 4195236328 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
16231-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902234933 | Brooke Noelle Cassidy | Licensed Practical Nurse | 1251 Walnut Ave, Bohemia, NY 11716-2177 | 2013-10-30 |
| Street Address |
575 O-G ROAD SUITE 3 |
| City | OTTAWA |
| State | OH |
| Zip Code | 45875-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568970077 | Challenged Champions Equestrian Center, Inc. | Clinic/Center | 11913 Road 6, Ottawa, OH 45875 | 2018-01-18 |
| 1831602119 | County of Putnam Office of Auditor | Physical Medicine & Rehabilitation | 575 Ottawa Glandorf Rd Ste 3, Ottawa, OH 45875 | 2017-11-09 |
| 1972908069 | Trilogy Healthcare of Putnam II, LLC | Skilled Nursing Facility | 147 Putnam Parkway, Ottawa, OH 45875 | 2014-10-31 |
| 1669771291 | Beth Ann Jensen | Occupational Therapist | 1880 N. Perry Street, Ste 100, Ottawa, OH 45875 | 2011-03-22 |
| 1124329172 | Donald J. Schmidt, D.c. Inc. | Chiropractor | 139 S. Walnut St., Ottawa, OH 45875 | 2010-11-08 |
| 1700196433 | Andrew Michael Miller | Physical Therapist | 27511 Holiday Ln # 105, Perrysburg, OH 45875 | 2010-10-15 |
| 1639342603 | Atheena Dawn Walters Niese | Massage Therapist | 207 Blanchard Avenue, Ottawa, OH 45875 | 2008-04-10 |
| 1346442035 | Carla Mae Utendorf | Licensed Practical Nurse | 10129 Twp Rd 8, Ottawa, OH 45875 | 2007-06-04 |
| 1669687703 | Kathleen E Stinson | Home Health Aide | 8150 Road 15, Ottawa, OH 45875 | 2007-05-11 |
| 1124114939 | John B Hicks | Specialist/Technologist | 1880 N Perry Street Suite 100, Ottawa, OH 45875 | 2006-10-05 |
| Find all providers in zip 45875 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
| 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.