SARA PROVENZALE (NPI# 1831721950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831721950 |
| Entity Type | Individual |
| Full Name | SARA PROVENZALE |
| Practice Address |
320 Executive Dr Marion OH 43302-6373 |
| Practice Telephone | 7403875210 |
| Mailing Telephone | 7403875210 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | C.1902038-TRNE | OH | Student, Health Care |
| Street Address |
320 EXECUTIVE DR |
| City | MARION |
| State | OH |
| Zip Code | 43302-6373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720044506 | Marion Area Counseling Center, Inc. | Clinic/Center | 320 Executive Dr, Marion, OH 43302-6310 | 2006-04-21 |
| 1134735319 | Christian Horton | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2020-09-22 |
| 1942826342 | Natalie Widman | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2020-06-22 |
| 1871117994 | Dodie Swick | Counselor | 320 Executive Dr, Marion, OH 43302-6310 | 2020-06-04 |
| 1750949194 | Kimberly Cooperider | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2019-05-31 |
| 1285292623 | Cheyanne Taylor | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2019-05-31 |
| 1992263305 | Joanna Starcher | Licensed Practical Nurse | 320 Executive Dr, Marion, OH 43302-6373 | 2019-03-05 |
| 1477019370 | Jaime Malinda Shroyer | Licensed Practical Nurse | 320 Executive Dr, Marion, OH 43302-6373 | 2019-02-15 |
| 1790240869 | Mackenzie Poling | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2019-02-04 |
| 1972072817 | Melissa Peters | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2018-11-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922239763 | Lisa C Anderson | Student in an Organized Health Care Education/Training Program | 30 Joanne Dr, Marion, MA 02738-1299 | 2009-07-28 |
| 1134735319 | Christian Horton | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2020-09-22 |
| 1568083558 | Emily Brown | Student in an Organized Health Care Education/Training Program | 1138 Independence Ave, Marion, OH 43302-6318 | 2020-04-30 |
| 1790240869 | Mackenzie Poling | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2019-02-04 |
| 1932634524 | Kaylee Highsmith | Student in an Organized Health Care Education/Training Program | 524 James Way, Marion, OH 43302-7801 | 2017-04-21 |
| 1902070642 | Williamson Co. Special Education District | Student in an Organized Health Care Education/Training Program | 411 S Court St, Marion, IL 62959-2711 | 2008-04-14 |
| 1841358249 | Jennifer Johnson Guthrie | Student in an Organized Health Care Education/Training Program | 304 Washington St, Marion, AL 36756-2332 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114195 | Madeline Rose Barnes | Student in an Organized Health Care Education/Training Program | 11322 Wilderness Way Ct, Belle Center, OH 43310-9330 | 2020-11-04 |
| 1073113940 | Chelsea Ann Winner | Student in an Organized Health Care Education/Training Program | 7395 State Route 119, Maria Stein, OH 45860-8717 | 2020-10-29 |
| 1770182578 | Abigail Morgan Naegele | Student in an Organized Health Care Education/Training Program | 9604 County Road 107 Unit 26, Proctorville, OH 45669-8023 | 2020-10-22 |
| 1720687833 | Bethany C Eagle | Student in an Organized Health Care Education/Training Program | 1015 Taylor Rd, Mansfield, OH 44903-7683 | 2020-10-20 |
| 1013515493 | Jonathan Ehrenkrantz | Student in an Organized Health Care Education/Training Program | 5720 Reigart Rd, Fairfield Township, OH 45011-2160 | 2020-10-16 |
| 1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1376150854 | Diana Lynne Warner | Student in an Organized Health Care Education/Training Program | 7663 Fairground Rd, Blanchester, OH 45107-1548 | 2020-09-28 |
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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.