MRS. CHRISTINE ANN DEARTH


Address: 14601 Detroit Ave, Suite 540, Lakewood, OH 44107-4214
Phone: 2165295300

MRS. CHRISTINE ANN DEARTH (NPI# 1164680435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164680435
Entity Type Individual
Full Name MRS. CHRISTINE ANN DEARTH
Credential CNP
Practice Address 14601 Detroit Ave
Suite 540
Lakewood
OH 44107-4214
Mailing Address 14601 Detroit Ave
Suite 540
Lakewood
OH 44107
Practice Telephone 2165295300
Practice Fax Number 2165295301
Mailing Telephone 2165295300
Mailing Fax Number 2165295301
Enumeration Date 2008-05-23
Last Update Date 2016-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 367211 OH Physician Assistants & Advanced Practice Nursing Providers

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1891200796 Christine Renee Dearth Pharmacist 919 E State St, Athens, OH 45701-2117 2017-12-13
1447698873 Christine L Dearth Dentist 430 Morgantown St, Kingwood, WV 26537-1093 2013-06-07
1518905421 Christine C Dearth Anesthesiology 3300 Gallows Rd, Falls Church, VA 22042-3307 2006-06-03

Office Location

Street Address 14601 DETROIT AVE
SUITE 540
City LAKEWOOD
State OH
Zip Code 44107-4214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477557197 Marie Antonette Albano Dentist 14601 Detroit Ave, Ste 680, Lakewood, OH 44107-4251 2005-06-09
1659900413 Alexander Ford Student in an Organized Health Care Education/Training Program 14601 Detroit Ave, Lakewood, OH 44107-4205 2020-04-03
1992334783 Kyle O'brien Student in an Organized Health Care Education/Training Program 14601 Detroit Ave, Lakewood, OH 44107-4205 2020-04-03
1497384200 Emery Llewellyn Young Jr. Student in an Organized Health Care Education/Training Program 14601 Detroit Ave, Lakewood, OH 44107-4205 2020-04-03
1952930950 Ryan Joseph Tran Student in an Organized Health Care Education/Training Program 14601 Detroit Ave, Lakewood, OH 44107-4205 2020-04-02
1831728765 Lauren Wichman Student in an Organized Health Care Education/Training Program 14601 Detroit Ave, Lakewood, OH 44107-4205 2020-04-02
1881220960 Megan Theresa Wolf Dietitian, Registered 14601 Detroit Ave, Lakewood, OH 44107-4205 2020-03-20
1982258091 Shelby Lynne Wilson Nurse Practitioner 14601 Detroit Ave, Lakewood, OH 44107-4205 2019-07-26
1205397494 Brian Halim Youseff Student in an Organized Health Care Education/Training Program 14601 Detroit Ave, Lakewood, OH 44107-4205 2019-03-29
1992266183 Molly Mcdermott Student in an Organized Health Care Education/Training Program 14601 Detroit Ave, Lakewood, OH 44107-4205 2019-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

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1205452141 Kathryn Mccullough Nurse Practitioner 1253 S Flower Cir Apt A, Lakewood, CO 80232-2025 2020-06-16
1770144586 Advanced Familycare Medicine Nurse Practitioner 9104 S Tacoma Way Ste 106f, Lakewood, WA 98499-4407 2019-06-24
1386115327 Amy Rosana Maron-martinez Nurse Practitioner 15264 W La Salle Ave, Lakewood, CO 80228-5519 2018-12-17
1962981829 Anchor Healthcare Solutions, Inc. Nurse Practitioner 5230 Clark Ave Ste 31, Lakewood, CA 90712-2668 2018-08-11
1063999605 Yocheved Stern Nurse Practitioner 456 Chestnut St Ste 201, Lakewood, NJ 08701-6124 2018-07-26
1306358593 Yongok K Mar Nurse Practitioner 2368 S Juniper Cir, Lakewood, CO 80228-6445 2017-10-29
1881119931 Cory J Frazier Nurse Practitioner 11600 W. 2nd Pl, Lakewood, CO 80228 2017-08-10
1407395734 Infinity Care Housecall and Nursing Services Nurse Practitioner 3300 E South St Ste 209, Lakewood, CA 90805-4592 2017-02-20
1124476098 Rachel Patterson Nurse Practitioner 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 2016-06-01
1043579154 Matrix Medical Network of Colorado LLC Nurse Practitioner 200 Union Blvd Ste 200, Lakewood, CO 80228-1831 2012-05-09
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Competitor

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City LAKEWOOD
Zip Code 44107

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Dataset Information

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.

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