MICAH ERIN GLENN (NPI# 1982242160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982242160 |
| Entity Type | Individual |
| Full Name | MICAH ERIN GLENN |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
405 N Park Ave Wellston OH 45692 |
| Practice Telephone | 7403845611 |
| Mailing Telephone | 7403845611 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP.026039 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
405 N PARK AVE |
| City | WELLSTON |
| State | OH |
| Zip Code | 45692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942242409 | Tandem Healthcare of Wellston, Inc. | Skilled Nursing Facility | 405 N Park Ave, Wellston, OH 45692-1111 | 2006-06-11 |
| 1225042070 | Wellston Facility Operations, LLC | Skilled Nursing Facility | 405 N Park Ave, Wellston, OH 45692-1111 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190803 | Courtney Kincaid | Speech-Language Pathologist | 405 N Park Avenue, Wellston, OH 45692 | 2017-08-18 |
| 1154728905 | Kelly Newell | Health Educator | 519 Cheatwood Rd, Wellston, OH 45692 | 2014-11-21 |
| 1104167998 | Denise Rice | Occupational Therapy Assistant | 405 North Park Ave, Wellston, OH 45692 | 2013-03-05 |
| 1720327067 | Laura R Chapman | Student in an Organized Health Care Education/Training Program | 405 North Park Avenue, Wellston, OH 45692 | 2013-02-06 |
| 1992016828 | Hands On Care Respiratory and Oxygen | Respiratory Therapist, Certified | 6200 St Rt 327, Jackson, OH 45692 | 2010-06-25 |
| 1154409357 | Nicole Lynn Wallis | Licensed Practical Nurse | 421 East 1st Street, Wellston, OH 45692 | 2006-11-02 |
| 1477071371 | Edgewood Manor of Wellston LLC | Skilled Nursing Facility | 405 North Park Avenue, Wellston, OH 45692 | 2017-08-31 |
| 1659729267 | Erica Squires | Occupational Therapist | 405 North Park Ave, Wellston, OH 45692 | 2016-05-25 |
| 1770823247 | Amanda N Massie | Occupational Therapy Assistant | 405 North Park Avenue, Wellston, OH 45692 | 2013-02-21 |
| 1720107576 | James Lee Phillips | Dentist | 22 North Ohio Avenue, Wellston, OH 45692-0266 | 2007-03-29 |
| Find all providers in zip 45692 | ||||
| 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 |
|---|---|---|---|---|
| 1275037434 | Tosa Broome | Nurse Practitioner | 1020 S New York Ave, Wellston, OH 45692-1854 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407497 | Brooke Ashley Sforza | Nurse Practitioner | 7518 Linnville Rd, Newark, OH 43056-9340 | 2020-11-03 |
| 1295335289 | Ipsa Patel | Nurse Practitioner | 3143 Elora Ln, Fairfield Township, OH 45011-0532 | 2020-10-28 |
| 1043810476 | Rylee Fishman | Nurse Practitioner | 5492 Crossbridge Dr, West Chester, OH 45069-1682 | 2020-10-26 |
| 1467051318 | Tylyn Bova | Nurse Practitioner | 26550 Hoop Rd, Freeport, OH 43973-9013 | 2020-10-21 |
| 1558960674 | Alicia Walls-holler | Nurse Practitioner | 5947 S Jay Rd, West Milton, OH 45383-7722 | 2020-10-20 |
| 1184223513 | Ryan Matthew Costlow | Nurse Practitioner | 5605 Madrid Dr, Austintown, OH 44515-4136 | 2020-10-16 |
| 1699373886 | Erin Lea Williams | Nurse Practitioner | 5828 Winshire Dr, Canal Winchester, OH 43110-8791 | 2020-10-11 |
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1780281337 | Lisa Cowles | Nurse Practitioner | 9200 Worthington Rd Ste 300, Westerville, OH 43082-7240 | 2020-10-07 |
| 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.