MARY ALICE MOMEYER (NPI# 1083642094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083642094 |
| Entity Type | Individual |
| Full Name | MARY ALICE MOMEYER |
| Credential | CNP |
| Practice Address |
2121 Bethel Rd Ste F Columbus OH 43220-1804 |
| Practice Telephone | 6144573100 |
| Practice Fax Number | 6144573200 |
| Mailing Telephone | 6144573100 |
| Mailing Fax Number | 6144573200 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN.218736-COA1 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2042426 | 05 |
| Street Address |
2121 BETHEL RD STE F |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43220-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
| 1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
| 1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
| 1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
| 1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
| 1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
| 1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
| 1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
| Find all providers in zip 43220 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1003388828 | April Allen | Nurse Practitioner | 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909-5981 | 2018-12-18 |
| 1588145965 | Megan R Mosher | Nurse Practitioner | 500 Thomas Ln Ste 2e, Columbus, OH 43214-1419 | 2018-08-24 |
| 1134630585 | Stephanie Kay Stewart | Nurse Practitioner | 2000 10th Ave Ste 200, Columbus, GA 31901-3705 | 2017-10-12 |
| 1942858311 | Sarah Lynn Johnson | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2019-08-29 |
| 1124688239 | Ashley Mcgaughy | Nurse Practitioner | 85 Mcnaughten Rd Ste 110, Columbus, OH 43213-5111 | 2019-06-20 |
| 1124687793 | Megan M Reed | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2019-06-07 |
| 1134690837 | Brenda M Riddle | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2018-12-07 |
| 1053897330 | Caroline Nicole Holden | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-07-19 |
| 1770078420 | Laurel Armstrong | Nurse Practitioner | 2300 Manchester Expy Ste 2001, Columbus, GA 31904-6877 | 2018-06-26 |
| Find all providers in COLUMBUS | ||||
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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.