MINDY E WENGER (NPI# 1982784559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982784559 |
Entity Type | Individual |
Full Name | MINDY E WENGER |
Credential | NP |
Practice Address |
2700 Westside Dr Nw Ste 103 Cleveland TN 37312-3699 |
Practice Telephone | 4234721511 |
Practice Fax Number | 4234799202 |
Mailing Telephone | 4234721511 |
Mailing Fax Number | 4234799202 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN274947 | OH | Nursing Service Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP06985 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2700 WESTSIDE DR NW STE 103 |
City | CLEVELAND |
State | TN |
Zip Code | 37312-3699 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659838647 | Boerema and Thompson Compassionate Healthcare LLC | Family Medicine | 2700 Westside Dr Nw Ste 103, Cleveland, TN 37312-3699 | 2019-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
Find all providers in zip 37312 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265041107 | Rachael Kaplan | Nurse Practitioner | Cleveland Clinic Anesthesia Institute, 9500 Euclid Ave, Cleveland, OH 44195 | 2020-07-27 |
1124671904 | Ginger Lynn Anastasia | Nurse Practitioner | Cchs Anesthesia Institute 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-20 |
1427535541 | Shelia Annette Green | Nurse Practitioner | 4818 Camellia Ave Nw, Cleveland, TN 37312-1405 | 2018-07-21 |
1861991820 | Seenamma Mathew | Nurse Practitioner | 9500 Euclid Ave # P78-009, Cleveland, OH 44195 | 2018-02-06 |
1316496706 | Nicholas Hatcher | Nurse Practitioner | 5330 Mouse Creek Rd Nw, Cleveland, TN 37312-6241 | 2016-09-26 |
1922552603 | Adam Botson | Nurse Practitioner | 15843 Norway Ave, Cleveland, OH 44111-1968 | 2016-08-10 |
1568738011 | Emily Rae Porter | Nurse Practitioner | 9500 Euclid Ave # J34, Cleveland, OH 44195-0001 | 2012-03-29 |
1285915702 | Jacquelyn M Gill | Nurse Practitioner | 9500 Euclid Ave # E1-001, Cleveland, OH 44195-2433 | 2011-08-30 |
1376842435 | Kevin Andrew Andrysek | Nurse Practitioner | 9500 Euclid Ave # 11, Cleveland, OH 44195-0001 | 2011-03-15 |
1063712362 | Sonja E Pitrof | Nurse Practitioner | 9500 Euclid Avenue, E 11, Cleveland, OH 44195 | 2010-11-02 |
Find all providers in CLEVELAND |
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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.