TINA M KNISLEY (NPI# 1104265461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104265461 |
| Entity Type | Individual |
| Full Name | TINA M KNISLEY |
| Credential | LCDCIII |
| Practice Address |
100 Medical Center Dr Springfield OH 45504-2687 |
| Practice Telephone | 9375235363 |
| Practice Fax Number | 9375235958 |
| Mailing Telephone | 9375235363 |
| Mailing Fax Number | 9375235958 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 001134 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LCDCIII | 00134 | 01 |
| Street Address |
100 MEDICAL CENTER DR |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45504-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087463 | Carl Douglas Porter | Physical Medicine & Rehabilitation | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2005-07-15 |
| 1659909422 | John Yolwa Walsh | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2020-03-29 |
| 1538702162 | Adine Edwards | Nurse Practitioner | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2019-10-27 |
| 1851943757 | Tracy Dean Kelley | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2019-07-10 |
| 1568951929 | Brendan Allen Weigand | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2018-05-01 |
| 1871096362 | Stephen Jacob Hoffman | Registered Nurse | 100 Medical Center Dr, Springfield, OH 45504 | 2018-03-12 |
| 1487178869 | Roli Bernadette Iwere | Internal Medicine | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-07-27 |
| 1407376809 | Akpezi Oshobe | Internal Medicine | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-06-27 |
| 1134656390 | Levi Chase Taylor | Nurse Anesthetist, Certified Registered | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-05-18 |
| 1659803740 | Community Mercy Health Partners | Pharmacy | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2017-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
| 1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
| 1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
| 1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
| 1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
| 1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
| 1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
| 1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
| Find all providers in zip 45504 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
| 1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
| 1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
| 1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
| 1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
| 1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
| 1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
| 1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45504 |
Please comment or provide details below to improve the information on TINA M KNISLEY.
| 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.