MS. DOMINIQUE ROCHELLE PURDIN (NPI# 1962040501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962040501 |
Entity Type | Individual |
Full Name | MS. DOMINIQUE ROCHELLE PURDIN |
Credential | CNP |
Practice Address |
1843 W Main St Troy OH 45373-2303 |
Mailing Address |
3170 Kettering Blvd Building B 3rd Floor Moraine OH 45439-1924 |
Practice Telephone | 9372084120 |
Practice Fax Number | 9372084126 |
Mailing Telephone | 9379913188 |
Mailing Fax Number | 9372239811 |
Enumeration Date | 2019-12-13 |
Last Update Date | 2020-01-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN.CNP.025226 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1843 W MAIN ST |
City | TROY |
State | OH |
Zip Code | 45373-2303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
1174161905 | Kelli Hoke | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2019-12-11 |
1770120487 | Maureen O'neil Manbeck | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2019-12-02 |
1730732256 | Max Alexander Pulfer | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2019-07-23 |
1083186324 | Heidi Sue Riley | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2018-12-27 |
1598285751 | Regina Embrador | Physician Assistant | 1843 W Main St, Troy, OH 45373-2303 | 2017-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
1386942910 | Pulmonary Associates LLC | Internal Medicine | 3006 N. Dixie Hwy., Suite 102, Troy, OH 45373 | 2011-03-07 |
Find all providers in zip 45373 |
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 |
---|---|---|---|---|
1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
1124657143 | Angela Dalton | Nurse Practitioner | 1001 S Dorset Rd # C, Troy, OH 45373-4750 | 2020-04-02 |
1811528029 | Alzea Dorena Rineer | Nurse Practitioner | 15900, Us -6, Troy, PA 16947-1694 | 2020-01-28 |
1861052565 | Hannah Grainger | Nurse Practitioner | 44199 Dequindre Rd Ste G10, Troy, MI 48085-1128 | 2019-06-17 |
1649736729 | Marilyn Alysse Chengo | Nurse Practitioner | 1200 Kirts Blvd Ste 200, Troy, MI 48084-4899 | 2019-02-14 |
1144770454 | Sarah Neal | Nurse Practitioner | 3130 N Country Rd 25 A, Troy, OH 45373-1337 | 2016-10-11 |
1700334125 | Diane Byrd Campbell | Nurse Practitioner | 102 Regents Dr, Troy, MI 48084-5421 | 2016-09-14 |
1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
1649614009 | Latishia Renee-denise Berry | Nurse Practitioner | 880 W Long Lake Rd, Troy, MI 48098-4504 | 2013-04-29 |
1780901439 | Rosanna Marie Marrocco | Nurse Practitioner | 1777 Axtell Dr Ste 202, Troy, MI 48084-4435 | 2010-04-21 |
Find all providers in TROY |
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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.