MRS. KELLY ANN SQUIRE (NPI# 1164744363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164744363 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN SQUIRE |
| Credential | LPN |
| Practice Address |
52104 Stewart Rd New London OH 44851-9624 |
| Practice Telephone | 4402250118 |
| Mailing Telephone | 4402250118 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 127869 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154672731 | Kelly Squire | Specialist | 1024 Park Ave, Medina, NY 14103-1030 | 2012-09-24 |
| Street Address |
52104 STEWART RD |
| City | NEW LONDON |
| State | OH |
| Zip Code | 44851-9624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568029510 | Samaritan Regional Health System | Clinic/Center | 206 W Main St, New London, OH 44851 | 2019-05-24 |
| 1730567835 | Barbara Ann Trimmer | Licensed Practical Nurse | 19 Johnson Dr, New London, OH 44851-1010 | 2015-05-11 |
| 1669449351 | Jeffrey A Harwood | Family Medicine | 187 W Main St, New London, OH 44851-1018 | 2006-03-02 |
| 1356886618 | Haley Robuck | Nurse Practitioner | 187 W Main St, New London, OH 44851-1018 | 2016-12-22 |
| 1053756734 | The Laurels of New London, LLC | Skilled Nursing Facility | 201 W Main St, New London, OH 44851-1018 | 2013-05-08 |
| 1013969419 | New London Family Practice,llc | Family Medicine | 187 W Main St, New London, OH 44851-1018 | 2006-05-16 |
| 1568864759 | William Stewart | Home Health Aide | 142 Pearl St, New London, OH 44851-1023 | 2014-09-19 |
| 1619515277 | Lifesource of North Carolina | Psychologist | 204 W Main St, New London, OH 44851-1070 | 2019-12-13 |
| 1215143417 | Integrated Health Services of New London At Firelands | Nursing Facility/Intermediate Care Facility | 204 W Main St, New London, OH 44851-1070 | 2007-05-15 |
| 1457463556 | 204 W. Main Street Operating Company, LLC | Skilled Nursing Facility | 204 W Main St, New London, OH 44851-1070 | 2006-08-31 |
| Find all providers in zip 44851 | ||||
| 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 |
|---|---|---|---|---|
| 1700430949 | Heidi Elizabeth Besch | Licensed Practical Nurse | 525 Wallace St, New London, WI 54961-2165 | 2019-07-26 |
| 1386120111 | Jared Ireland Deboard | Licensed Practical Nurse | 2720 Jennings Rd, New London, OH 44851-9375 | 2018-07-16 |
| 1265988232 | Ivadean Hatfield | Licensed Practical Nurse | 566 Butler Rd N, New London, OH 44851-9002 | 2016-08-30 |
| 1730567835 | Barbara Ann Trimmer | Licensed Practical Nurse | 19 Johnson Dr, New London, OH 44851-1010 | 2015-05-11 |
| 1174890891 | Brett Lynn Richards | Licensed Practical Nurse | 79 Birch Park Dr, New London, OH 44851-1103 | 2011-11-23 |
| 1124271374 | Andrea A Craven | Licensed Practical Nurse | 5931 Fox Glove Dr, New London, OH 44851-9265 | 2008-11-01 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1902153497 | Dorothy Sue Prelipp | Licensed Practical Nurse | 19 Cedar St, New London, OH 44851-1205 | 2012-08-14 |
| 1558687764 | Mary Catherine Allensworth | Licensed Practical Nurse | 12677 Heavenly Acres Dr, New London, MO 63459-2436 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
| 1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
| 1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
| 1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 44851 |
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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.