JAMIE LEE TEAL (NPI# 1861937302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861937302 |
| Entity Type | Individual |
| Full Name | JAMIE LEE TEAL |
| Credential | ACNS |
| Practice Address |
960 Windham Ct Ste 1 Boardman OH 44512-5087 |
| Mailing Address |
2600 Elm Rd Ne Building D Cortland OH 44410-9393 |
| Practice Telephone | 3307263357 |
| Practice Fax Number | 3307261465 |
| Mailing Telephone | 3303728800 |
| Mailing Fax Number | 3303728999 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
APRN.CNS.019300 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
960 WINDHAM CT STE 1 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730536160 | Mary Liakaris | Nurse Practitioner | 960 Windham Ct Ste 1, Boardman, OH 44512-5087 | 2016-05-16 |
| 1639313919 | Leslie Lea Shugart | Nurse Practitioner | 960 Windham Ct Ste 1, Boardman, OH 44512-5087 | 2009-04-30 |
| 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 | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043633993 | Anesthesiologists D.o. Inc. | Clinical Nurse Specialist | 1011 Boardman Canfield Rd, Boardman, OH 44512-4226 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243941 | Christina Canfield | Clinical Nurse Specialist | 9500 Euclid Ave # J6, Cleveland, OH 44195-0001 | 2020-04-13 |
| 1073040929 | Stacy L Burns | Clinical Nurse Specialist | 250 S Osborn Ave, Youngstown, OH 44509-2909 | 2017-05-22 |
| 1134655350 | Bindhu Sajay | Clinical Nurse Specialist | 45431 Isaac Dr, Beavercreek, OH 45431-3051 | 2017-05-08 |
| 1750828406 | Keith B Evans | Clinical Nurse Specialist | 12 Lincoln Dr, Shelby, OH 44875-1482 | 2017-01-19 |
| 1760839070 | Deanna Petsas | Clinical Nurse Specialist | 35157 Poplar St, North Ridgeville, OH 44039-1549 | 2016-05-17 |
| 1083087852 | Tracy A. Riley | Clinical Nurse Specialist | 2270 Mohler Dr Nw, North Canton, OH 44720-5736 | 2015-11-03 |
| 1639542574 | Althea Premraj | Clinical Nurse Specialist | 26 Keswick Dr, Hudson, OH 44236-3338 | 2015-10-31 |
| 1013392646 | Lydia Booher | Clinical Nurse Specialist | 2320 12th St Sw, Akron, OH 44314-2058 | 2015-07-24 |
| 1265813984 | Ronald Rock | Clinical Nurse Specialist | 9500 Euclid Ave # M2-105, Cleveland, OH 44195-0001 | 2015-06-18 |
| 1518387257 | Beth Canfield | Clinical Nurse Specialist | 6721 Idlelawn Ave Nw, Canal Fulton, OH 44614-9420 | 2014-04-21 |
| 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.