CASEY MALICOAT (NPI# 1881019214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881019214 |
| Entity Type | Individual |
| Full Name | CASEY MALICOAT |
| Credential | NP |
| Practice Address |
4226 Barton Dr Batavia OH 45103-9700 |
| Practice Telephone | 5134463777 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 400060 | OH | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.024524 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014454 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS OH | 000001329868 | 01 | |
| OH | 0360440 | 05 | |
| CAQH | 14435766 | 01 | |
| MOLINA | QMP000004855095 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 E Galbraith Rd # 301, Cincinnati, OH 452362754 | 5023279100 |
| Street Address |
4226 BARTON DR |
| City | BATAVIA |
| State | OH |
| Zip Code | 45103-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
| 1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
| 1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
| 1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
| 1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
| 1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
| 1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
| 1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
| 1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
| Find all providers in zip 45103 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609350032 | Maria J Moreno | Nurse Practitioner | 1180 W Wilson St Ste E, Batavia, IL 60510-7693 | 2018-09-21 |
| 1659808558 | Tara Nickum | Nurse Practitioner | 2080 Erion Rd, Batavia, OH 45103-8928 | 2017-05-23 |
| 1457653511 | Jane R Balbick | Nurse Practitioner | 411 S Jackson St, Batavia, NY 14020-3805 | 2010-11-23 |
| 1588120042 | Henry E Moscicki Np Family Health Pllc | Nurse Practitioner | 7 Woodcrest Dr, Batavia, NY 14020-2717 | 2019-02-20 |
| 1639662349 | Rebecca Ann Russo | Nurse Practitioner | 229 Summit St Ste 4, Batavia, NY 14020-1645 | 2018-06-08 |
| 1962888537 | Lauren Kuykendall | Nurse Practitioner | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2015-08-06 |
| 1871923797 | Stacy Bickett | Nurse Practitioner | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2013-11-13 |
| 1760751028 | Valeria Bisig | Nurse Practitioner | 2055 Hospital Drive, Suite 130, Batavia, OH 45103 | 2011-12-15 |
| 1750607834 | Tri-state Pain Management Service Inc | Nurse Practitioner | 3000 Hospital Dr, Batavia, OH 45103-1921 | 2010-04-14 |
| 1669593372 | Mary E Traxler | Nurse Practitioner | 164 Washington Ave, Batavia, NY 14020-2113 | 2007-04-02 |
| Find all providers in BATAVIA | ||||
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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.