EBONY MITCHELL (NPI# 1851884720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851884720 |
| Entity Type | Individual |
| Full Name | EBONY MITCHELL |
| Practice Address |
2611 Wayne Ave Dayton OH 45420-1833 |
| Practice Telephone | 9376418554 |
| Practice Fax Number | 8779383265 |
| Mailing Telephone | 9376418554 |
| Mailing Fax Number | 8779383265 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
W.2000226 | OH | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205144334 | Ebony Y Mitchell | Nurse Practitioner | 945 N 12th St, Suite 101, Milwaukee, WI 53233-1305 | 2010-09-23 |
| Street Address |
2611 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45420-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750350658 | State of Ohio Department of Mental Health | Case Management | 2611 Wayne Ave, Bldg #66, Dayton, OH 45420-1833 | 2006-03-15 |
| 1053926246 | Nikkol Michelle Ferguson | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-09-14 |
| 1457963878 | Jessica Lynn Phillips | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-18 |
| 1417569005 | Michael Baker | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-17 |
| 1629611421 | Alexus Sanders | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-10-24 |
| 1144875386 | Kathleen Margaret Thompson | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-08-05 |
| 1205498433 | Terry Shawn Wilson | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-09 |
| 1528629789 | Quinton A Osborne | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-06-27 |
| 1457827677 | Kellie Jean Morrissey | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-10-15 |
| 1083196018 | Charles Robert Wick | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407271059 | Jennifer Hopkins | Social Worker | 5001 Eastman Ave, Dayton, OH 45432-1437 | 2014-02-19 |
| 1801210646 | Maura Whisenhunt | Social Worker | 1801 Harshman Rd, Dayton, OH 45424-5019 | 2014-02-14 |
| 1093242828 | Tamar Totty | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1295335800 | Blake Stuckey | Social Worker | 1750 Ansel Rd Apt 511, Cleveland, OH 44106-4103 | 2020-11-01 |
| 1659917029 | Cherisse Nicole Parrish | Social Worker | 6098 Pawnee Dr, Cincinnati, OH 45224-2312 | 2019-11-20 |
| 1821556697 | Joshua Micheal Perkins | Social Worker | 508 E Buchtel Ave Apt 3a, Akron, OH 44304-1950 | 2019-03-11 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1780184580 | Shanae Thomas | Social Worker | 872 Mayfield Dr, Youngstown, OH 44512-6460 | 2018-02-19 |
| 1053811851 | Vakeyla Merriweather | Social Worker | 540 E Liberty St, Youngstown, OH 44505-1544 | 2018-02-19 |
| 1912414095 | Carlo Anthony Deascentis | Social Worker | 731 S Hazelwood Ave, Youngstown, OH 44509-2233 | 2018-01-10 |
| 1841709458 | Premier Professioal Group, LLC | Social Worker | 5025 Glendale Ave, Toledo, OH 43614-1855 | 2017-09-26 |
| 1124560347 | Danielle Baker | Social Worker | 2452 N High St, Apt 6, Columbus, OH 43202-2961 | 2016-11-07 |
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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.