WALLISS COURTNEY SUTER (NPI# 1124656905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124656905 |
| Entity Type | Individual |
| Full Name | WALLISS COURTNEY SUTER |
| Practice Address |
25 Whitney Dr Ste 120 Milford OH 45150-8400 |
| Mailing Address |
3903 S Clerose Cir Cincinnati OH 45205-2106 |
| Practice Telephone | 5133183639 |
| Mailing Telephone | 8593070902 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 173922 | OH | Nursing Service Providers |
| Street Address |
25 WHITNEY DR STE 120 |
| City | MILFORD |
| State | OH |
| Zip Code | 45150-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386204634 | Carly Irene Ontko | Counselor | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2019-06-19 |
| 1487278578 | Ashley Crone | Counselor | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2020-06-03 |
| 1164042974 | Christina Marie Chambers | Counselor | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2020-04-22 |
| 1942836010 | Chasity Dawn Baldwin | Licensed Practical Nurse | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2020-03-20 |
| 1083240550 | Jason Edward Chandler | Counselor | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2020-03-17 |
| 1457982498 | Darsey Raymond | Counselor | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2020-01-29 |
| 1942844352 | Bevely Hardy | Registered Nurse | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2019-10-30 |
| 1306407549 | Ridge Outpatient Services LLC | Substance Abuse Rehabilitation Facility | 25 Whitney Dr Ste 120, Milford, OH 45150-8400 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281899 | Emily Nicole Albacarys | Speech-Language Pathologist | 1099 Oh-131, Milford, OH 45150 | 2020-10-02 |
| 1306403118 | Baymark Health Services of Ohio | Clinic/Center | 749c State Route 28, Milford, OH 45150 | 2019-05-28 |
| 1881188878 | Lena M Todd | Counselor | 950 Lila Ave, Milford, OH 45150 | 2018-06-21 |
| 1457879678 | Kiley Buchanan | Specialist/Technologist | 1280 Eagle Ridge Road, Milford, OH 45150 | 2017-09-07 |
| 1144746488 | Amy Jo Pruitt | Speech-Language Pathologist | 7247 Zoar Road, Maineville, OH 45150 | 2017-08-18 |
| 1669911285 | Derek Jordan | Counselor | 25 Whitney Drive, Suite 122, Milford, OH 45150 | 2017-02-15 |
| 1073057998 | Tina Chioua | Home Health Aide | 1189 Mellie Ln, Milford, OH 45150 | 2016-12-12 |
| 1902258015 | Megan Fisher | Optometrist | 1064 State Route 26 Suite B, Milford, OH 45150 | 2016-07-13 |
| 1669826509 | Justin Kyle Short | Counselor | 50 West Techne Dr. Suite B-5, Milford, OH 45150 | 2016-04-18 |
| 1659794592 | Soodabeh Zia-ebrahmi | Pharmacist | 1082 Sr 28, Meijer Pharmacy, Milford, OH 45150 | 2014-01-29 |
| Find all providers in zip 45150 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609421064 | Deborah Reynolds Lpn | Licensed Practical Nurse | 123 Sylvaer Drive, Milford, PA 18337 | 2019-08-02 |
| 1295225431 | Latisa Clark | Licensed Practical Nurse | 769 E Masten Cir Ste 113, Milford, DE 19963-1268 | 2018-05-14 |
| 1275042905 | Katie Frank | Licensed Practical Nurse | 124 Maple Ridge Rd, Milford, PA 18337-7741 | 2017-09-26 |
| 1952846362 | Ludmila Dearaujo | Licensed Practical Nurse | 15 Shadowbrook Ln Apt 29, Milford, MA 01757-1139 | 2016-12-21 |
| 1639620156 | Marilyn Pena | Licensed Practical Nurse | 106 Almond Ct, Milford, PA 18337-7525 | 2016-10-19 |
| 1174984785 | Josie Kaars-mulholland | Licensed Practical Nurse | 2888 Boulder Ridge Trl, Milford, MI 48380-3369 | 2016-03-09 |
| 1043604689 | Jean Asprea | Licensed Practical Nurse | 105 Hemlock Rd, Milford, PA 18337-9021 | 2015-03-20 |
| 1821330879 | Erin Maria Campbell | Licensed Practical Nurse | 5521 Garrett Dr, Milford, OH 45150-2823 | 2013-03-17 |
| 1184972168 | Debra Anderson | Licensed Practical Nurse | 22506 230th St, Milford, IA 51351-7107 | 2012-08-22 |
| 1205108255 | Jennifer L Hodge | Licensed Practical Nurse | 725 Maple Ridge Rd, Milford, OH 45150-1408 | 2012-02-07 |
| Find all providers in MILFORD | ||||
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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.