AMELIA KAIDI WHITLATCH


Address: 6611 Clyo Rd, Ste E, Centerville, OH 45459-2785
Phone: 9372088282

AMELIA KAIDI WHITLATCH (NPI# 1912280827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912280827
Entity Type Individual
Full Name AMELIA KAIDI WHITLATCH
Credential NP-C
Practice Address 6611 Clyo Rd
Ste E
Centerville
OH 45459-2785
Practice Telephone 9372088282
Practice Fax Number 9372088275
Mailing Telephone 9372088282
Mailing Fax Number 9372088275
Enumeration Date 2011-09-27
Last Update Date 2020-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
COA.12753-NP OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0059561 05

Office Location

Street Address 6611 CLYO RD
STE E
City CENTERVILLE
State OH
Zip Code 45459-2785

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558356170 Anton Constantin Vasiliu Internal Medicine 6611 Clyo Rd, Suite E, Centerville, OH 45459-2786 2005-09-20
1730560749 Janet Lynn Smith Nurse Practitioner 6611 Clyo Rd, Suite B, Centerville, OH 45459-2786 2015-06-16
1285024588 Stacey Marie Poe Nurse Practitioner 6611 Clyo Rd, Centerville, OH 45459-2786 2015-01-26
1033409628 Eric Harris Nurse Practitioner 6611 Clyo Rd, Centerville, OH 45459-2786 2011-04-15
1528127610 Valley Medical Primary Care, Inc Internal Medicine 6611 Clyo Rd, Suite E, Centerville, OH 45459-2786 2006-12-06
1669493078 Julia Ann Boyd Family Medicine 6611 Clyo Rd, Ste B, Centerville, OH 45459-2786 2006-07-21
1649209644 Gurjeet Singh Kahlon Internal Medicine 6611 Clyo Rd, Suite E, Centerville, OH 45459-2786 2006-07-02
1861431512 Julie Myers Pediatrics 6611 Clyo Rd, Suite A, Centerville, OH 45459-2786 2006-06-06
1174578256 Mvhe, Inc Internal Medicine 6611 Clyo Rd, Suite C, Centerville, OH 45459-2786 2006-05-24
1568458362 Meenakshi C Patel Internal Medicine 6611 Clyo Rd, Sutie E, Centerville, OH 45459-2786 2005-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917466 Sarai Burke Robinson Occupational Therapist 2200 Miami Valley Rd, Dayton, OH 45459 2019-11-27
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Counselor 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750920617 Heather Dalynn Ferguson Nurse Practitioner 1140 Charter Pl, Centerville, OH 45458-3943 2019-12-24
1831744341 Lirong Zheng Nurse Practitioner 9432 Tahoe Dr, Centerville, OH 45458-3689 2019-08-02
1891278743 Latonia Queen Howard Nurse Practitioner 804 Arbor Ln, Centerville, GA 31028 2018-09-06
1427539014 Spencer Nicholaus Lowe Nurse Practitioner 576 Churchill Dr, Centerville, UT 84014-2614 2018-08-22
1538683727 Kathleen Whelan Nurse Practitioner 6071 Far Hills Ave, Centerville, OH 45459-1923 2017-07-28
1629517727 Annette Kathryn Hawthorn Nurse Practitioner 2591 Miamisburg Centerville Rd Ste 201, Centerville, OH 45459-3706 2017-02-22
1578012993 Kendra Custer Nurse Practitioner 968 Great View Cir Apt D, D, Centerville, OH 45459-6053 2016-09-27
1235688755 Justin Henne Nurse Practitioner 607 W Lassater, Centerville, TX 75833-1959 2016-09-26
1558726109 Rebecca Schmid Nurse Practitioner 1518 Hwy 100, Centerville, TN 37033 2015-12-28
1053795757 Emily Bush Nurse Practitioner 6520 Acro Ct, Centerville, OH 45459-2679 2015-07-13
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Competitor

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City CENTERVILLE
Zip Code 45459

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Dataset Information

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.

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