SCOTT MIX (NPI# 1154773109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154773109 |
| Entity Type | Individual |
| Full Name | SCOTT MIX |
| Credential | R.N. |
| Practice Address |
611 Belmont Ave Youngstown OH 44502-1037 |
| Mailing Address |
1211 Cavalcade Dr Youngstown OH 44515-3841 |
| Practice Telephone | 3307442991 |
| Mailing Telephone | 3305188138 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN 375123 | OH | Nursing Service Providers |
| Street Address |
611 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175793 | Suzanne Kay Rintala | Counselor | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2005-12-21 |
| 1083232466 | Alex Richard Miranda Sr. | Community/Behavioral Health | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2020-07-11 |
| 1699326637 | Madison Ivy Taylor | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2019-09-20 |
| 1518526060 | Matthew Douglas Spohn | Case Manager/Care Coordinator | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2019-06-09 |
| 1407410897 | Kayla Ann Manary | Case Manager/Care Coordinator | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2019-05-01 |
| 1548755036 | Erin Elizabeth Mcgee-hopkins | Counselor | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2018-06-27 |
| 1467946632 | Tammy Weaver | Counselor | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2018-06-20 |
| 1679067581 | Tammy Lynn Lipkovich | Case Manager/Care Coordinator | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2018-06-15 |
| 1578056289 | Brianna Lee Newell | Technician | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2018-06-08 |
| 1669976403 | Dawn Marie Decapita | Case Manager/Care Coordinator | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in zip 44502 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053816561 | Brenda Gentile | Registered Nurse | 278 Broadway Ave, Youngstown, OH 44504-1752 | 2018-03-27 |
| 1508364795 | Laura Elisabeth Goranitis | Registered Nurse | 278 Broadway Ave, Youngstown, OH 44504-1752 | 2018-01-23 |
| 1164881546 | Diane Marie Oliver | Registered Nurse | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2016-02-15 |
| 1548460280 | Kimberly Suzanne Mantas | Registered Nurse | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2007-07-20 |
| 1346450947 | Donna Jean Smith | Registered Nurse | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2007-05-23 |
| 1487868089 | Mary Ann Catherine Infante | Registered Nurse | 4970 Belmont Ave, Youngstown, OH 44505-1018 | 2007-05-10 |
| 1417176827 | Nancy Louise Zernich | Registered Nurse | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2007-04-24 |
| 1346396108 | Pamela R Price | Registered Nurse | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2007-01-26 |
| 1902919046 | Jo-anne Nass | Registered Nurse | 2031 Belmont Ave, Youngstown, OH 44505-2401 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811540 | Skye Renee Work | Registered Nurse | 5785 Chillicothe St, Bowersville, OH 45307 | 2020-11-03 |
| 1255932877 | Julie Lynn Hilberg | Registered Nurse | 4220 Brookway Ln, Brooklyn, OH 44144-1303 | 2020-11-02 |
| 1619578218 | Kimberly Neace | Registered Nurse | 9152 Stonemoor Pl, Lewis Center, OH 43035-7534 | 2020-11-02 |
| 1700491594 | Audrey Alford | Registered Nurse | 107 Plaza Dr Ste N, Saint Clairsville, OH 43950-8735 | 2020-09-09 |
| 1437767043 | Donna Nichter Sprunger | Registered Nurse | 7014 N River Rd, Waterville, OH 43566-9450 | 2020-07-20 |
| 1396353033 | Ikea Windham | Registered Nurse | 2022 River Rock Way, Reynoldsburg, OH 43068-8259 | 2020-07-20 |
| 1629691969 | Christine E Karn | Registered Nurse | 925 Keynote Cir, Brooklyn Heights, OH 44131-1870 | 2020-05-21 |
| 1275169591 | Shannon Prescott | Registered Nurse | 1402 Tener Pl, Springfield, OH 45502-8711 | 2020-03-18 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1184257248 | Debra Fox Reilly | Registered Nurse | 431 E Broad St # Oh, Columbus, OH 43215-4004 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44502 |
Please comment or provide details below to improve the information on SCOTT MIX.
| 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.