MRS. KATHLEEN MARY PFAHL (NPI# 1891709887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891709887 |
Entity Type | Individual |
Full Name | MRS. KATHLEEN MARY PFAHL |
Credential | APRN BC CS |
Practice Address |
300 E 185th St Cleveland OH 44119-1330 |
Mailing Address |
311 E 270th St Euclid OH 44132-1603 |
Practice Telephone | 2163832222 |
Practice Fax Number | 2163833750 |
Mailing Telephone | 2167985848 |
Mailing Fax Number | 2163833750 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN12250 | OH | Nursing Service Providers |
X | 163WX1500X |
Registered Nurse Specialization: Ostomy Care |
RN122250 | OH | Nursing Service Providers |
X | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
NS-06874 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | IN PROCESS | 05 | |
OH | STATE BOARD OF NURSING | RX 06874 | 01 |
OH | STATE BOARD OF NURSING | RN 122250 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437324779 | Kathleen Marie Pfahl | Occupational Therapist | 2329 Quail Hollow Ln, Sandusky, OH 44870-6082 | 2008-04-28 |
Street Address |
300 E 185TH ST |
City | CLEVELAND |
State | OH |
Zip Code | 44119-1330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255333753 | Hospice of The Western Reserve, Inc. | Hospice Care, Community Based | 300 E 185th St, Cleveland, OH 44119 | 2005-08-15 |
1750546107 | Linda Ann Herbert | Social Worker | 300 E 185th St, Cleveland, OH 44119-1330 | 2008-07-25 |
1043420342 | Maryjo Prince-paul | Registered Nurse | 300 E 185th St, Cleveland, OH 44119-1330 | 2007-05-23 |
1144392887 | Meredith Elaine Driscol | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-15 |
1093887382 | Charles Vincent Wellman | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-14 |
1962589382 | Jeffrey Lewis Spiess | Internal Medicine | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-11-01 |
1215941349 | Mary Ellen Lieder | Nurse Practitioner | 300 E 185th St, Cleveland, OH 44119-1330 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
1194216341 | Margaret Rachelle Logan | Counselor | 17809 Neff Rd, Cleveland, OH 44119 | 2018-05-23 |
1093230526 | Brittany Martin | Registered Nurse | 1060 East 177th, Cleveland, OH 44119 | 2017-08-05 |
1881047454 | Vanessa Renee Smith | Registered Nurse | 671 E. 200th St, Euclid, OH 44119 | 2016-07-19 |
1710395264 | Lakeshore Intergenerational School | Psychologist | 18025 Marcella Rd, Cleveland, OH 44119 | 2014-07-29 |
1184967820 | Latonya Robinson | Licensed Practical Nurse | 18001 Harland Ave, Cleveland, OH 44119 | 2013-04-01 |
1396016911 | Tameika Annmarie Anderson | Registered Nurse | 20301 Lindbergh Ave., Euclid, OH 44119 | 2012-01-13 |
1871805077 | Tabitha L White | Licensed Practical Nurse | 18016 Hiller Ave, Cleveland, OH 44119 | 2010-07-06 |
1659573277 | Deborah M Barker | Physical Therapist | 18901 Lakeshore Blvd., Euclid, OH 44119 | 2007-06-05 |
1861694234 | University Primary Care Practices Inc | Podiatrist | 18599 Lake Shore Blvd Ste 600, Euclid, OH 44119 | 2007-06-05 |
Find all providers in zip 44119 |
Taxonomy Code | 163WW0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Wound Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932636198 | Lindsay Joy Lupton | Registered Nurse | 7043 W Law Rd, Valley City, OH 44280-9509 | 2017-05-18 |
1881918993 | Sharon Lyn Barton | Registered Nurse | 3860 Arlind St. Nw, Uniontown, OH 44685 | 2010-03-18 |
1093950255 | Renae Elizabeth Obedisco | Registered Nurse | 3333 Lincoln Ave, Parma, OH 44134-1228 | 2008-12-02 |
1184892879 | Debbie L Farrington | Registered Nurse | 30020 State Route 31, Richwood, OH 43344-9326 | 2008-02-14 |
1467630590 | Judit K. Palotai | Registered Nurse | 4432 Palm Ave, Lorain, OH 44055-3553 | 2008-01-31 |
1003874090 | Prity S Vaidya | Registered Nurse | 295 Glessner Ave 3rd Fl, Mansfield, OH 44903-2270 | 2006-05-02 |
1134184559 | Alpha Wound Care,llc | Registered Nurse | 3363 Spyglass Rdg, Hamilton, OH 45013-8404 | 2006-04-19 |
1255896023 | James Milton Gray II | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-02-06 |
1316496672 | Amanda Leigh Tartaglia | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2016-09-28 |
1316349665 | Jill Michalak | Registered Nurse | 5871 Monclova Rd, Maumee, OH 43537-1839 | 2014-09-18 |
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.