ANGELA MARIE PRICKETT (NPI# 1982937413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982937413 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE PRICKETT |
| Credential | N.P.-C |
| Practice Address |
4160 Little York Rd Suite 10 Dayton OH 45414-5800 |
| Mailing Address |
Po Box 713130 Cincinnati OH 45271-3130 |
| Practice Telephone | 9374159100 |
| Practice Fax Number | 9374159191 |
| Mailing Telephone | 9374159100 |
| Mailing Fax Number | 9374159191 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.10951-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0081729 | 05 |
| Street Address |
4160 LITTLE YORK RD SUITE 10 |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764391 | Cardiology Specialists of Dayton Inc. | Internal Medicine | 4160 Little York Rd, Ste. 20, Dayton, OH 45414-5800 | 2005-07-14 |
| 1538532825 | Amy Birkemeier | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-11-09 |
| 1154701837 | Zachary Baum | Registered Nurse | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-06-08 |
| 1578942728 | Rachel Lloyd | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-05-20 |
| 1508267279 | Lauren Rode | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2014-09-11 |
| 1194149955 | Kathleen Walker | Occupational Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2014-02-13 |
| 1821338336 | Jcc, LLC | Clinic/Center | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2013-02-20 |
| 1053661926 | Stephanie Jae Buehler | Occupational Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2012-09-18 |
| 1104197318 | Holly Ann Wolters | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2012-01-19 |
| 1598047664 | Brigitte Nicole Eric | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1760094155 | Amanda Kenney | Nurse Practitioner | 5619 Hugh Dr, Dayton, OH 45459-1618 | 2020-08-18 |
| 1295371177 | Sophia Arnold | Nurse Practitioner | 5242 Rucks Rd, Dayton, OH 45417-8221 | 2019-11-26 |
| 1811548092 | April Nicole Peveto | Nurse Practitioner | 101 S Prairie St, Dayton, TX 77535-2819 | 2019-09-27 |
| 1659925253 | Marian Kimara Doukoure | Nurse Practitioner | 2615 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-31 |
| 1396200523 | Robert Andre De Roziere Jr. | Nurse Practitioner | Maria Joseph Care Center, 4780 Salem Avenue, Dayton, OH 45416 | 2019-02-01 |
| 1255804795 | Kathlene Jacoby | Nurse Practitioner | 7700 Washington Village Dr Ste 230, Dayton, OH 45459-4094 | 2019-01-08 |
| 1952878811 | Kenneth Howard | Nurse Practitioner | 101 S Prairie St Ste D, Dayton, TX 77535-2819 | 2018-10-30 |
| 1053895789 | Lori Bickett | Nurse Practitioner | 33 W Rahn Rd # 102, Dayton, OH 45429-2219 | 2018-09-19 |
| 1720571193 | Shelby Herbst | Nurse Practitioner | 7076 Corporate Way Ste 201, Dayton, OH 45459-4246 | 2018-06-11 |
| Find all providers in DAYTON | ||||
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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.