BETH R MOSSGROVE (NPI# 1134407125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134407125 |
| Entity Type | Individual |
| Full Name | BETH R MOSSGROVE |
| Credential | CNP |
| Practice Address |
4575 Stephens Cir Nw Canton OH 44718-3629 |
| Practice Telephone | 3304999944 |
| Practice Fax Number | 3304993056 |
| Mailing Telephone | 3304999944 |
| Mailing Fax Number | 3304993056 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.12460-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | COA-12460-NP | 01 |
| Street Address |
4575 STEPHENS CIR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326049081 | Betsy L Kendis | Internal Medicine | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2005-08-03 |
| 1336543628 | Inglish Kaput | Nurse Practitioner | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2014-10-15 |
| 1467603167 | Tana K. Saline | Physician Assistant | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2008-10-01 |
| 1528073368 | Primary Care Physician Associates, Inc. | Pediatrics | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2006-07-30 |
| 1043241672 | Daniel E Lee | Physician Assistant | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2006-07-05 |
| 1811964380 | Amy C Lakritz | Pediatrics | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2006-03-03 |
| 1396746053 | Brigitta A Moresea | Pediatrics | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2005-08-03 |
| 1801897558 | Karin T Riggs | Internal Medicine | 4575 Stephens Cir Nw, Canton, OH 44718-3629 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
| 1851838809 | Kristen Bourgon-yee | Nurse Practitioner | 236 Constitution St, Canton, MI 48188-6719 | 2017-01-30 |
| 1063883981 | Destiny Howe | Nurse Practitioner | 1610 Oakdale Rd, Canton, GA 30114-4512 | 2015-10-19 |
| 1912398827 | Andrea Johnson | Nurse Practitioner | 7440 Claremont St, Canton, MI 48187-1535 | 2015-02-13 |
| 1376973602 | Sarita Rao | Nurse Practitioner | 44270 Duchess Dr, Canton, MI 48187-3242 | 2013-11-22 |
| 1134476088 | Carla Valerie Hart-tyner | Nurse Practitioner | 3801 Whipple Ave Nw Ste 1, Canton, OH 44718-4802 | 2012-08-09 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| 1942502109 | Lynn A Nuti | Nurse Practitioner | 16 Forge Pond, Unit D, Canton, MA 02021-2995 | 2010-11-21 |
| 1841470010 | Wida M Miller | Nurse Practitioner | 2600 6th St Sw # A2-710, Canton, OH 44710-1702 | 2007-11-05 |
| Find all providers in CANTON | ||||
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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.