MRS. CARRIE SUE MERSEREAU (NPI# 1164968483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164968483 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE SUE MERSEREAU |
| Other Name | MS. CARRIE SUE RILEY |
| Credential | CNP |
| Practice Address |
5923 Tetherwood Dr Toledo OH 43613-1615 |
| Mailing Address |
500 W 190th St Fl 4 Gardena CA 90248-4268 |
| Practice Telephone | 4194742541 |
| Mailing Telephone | 4244335771 |
| Mailing Fax Number | 4244335771 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
024233 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5923 TETHERWOOD DR |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1386152742 | Virgena Rose Nagel | Home Health | 4326 Garden Park, Toledo, OH 43613 | 2018-01-18 |
| 1184140550 | Horizon Science Academy Toledo | Local Education Agency (LEA) | 2600 W Sylvania Ave, Suite #: 109, Toledo, OH 43613 | 2017-08-17 |
| 1356861611 | Sherese R Bonaparte | Home Health Aide | 1928 Barrows St, Toledo, OH 43613 | 2017-06-27 |
| 1962953075 | Maureen Montes | Registered Nurse | Washington Jr High School, 5700 Whitmer Dr., Toledo, OH 43613 | 2016-10-24 |
| 1427504638 | From Us To You Home Health Care Agency LLC | Home Health | 4401 Douglas Rd., Toledo, OH 43613 | 2016-08-28 |
| 1730582487 | Shamyre Lynn Garner | Social Worker | 1776 Tremainsville Road, Toledo, OH 43613 | 2014-10-08 |
| 1356788939 | John M Netwon | Home Health Aide | 4905 Roywood, Toledo, OH 43613 | 2013-05-23 |
| Find all providers in zip 43613 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594332 | Vesna Radivojevic | Nurse Practitioner | 2200 Scottwood Ave Unit 111, Toledo, OH 43620-1183 | 2018-07-09 |
| 1932736154 | Israa Hassan Berro | Nurse Practitioner | 2718 Centennial Rd, Toledo, OH 43617-1829 | 2020-03-26 |
| 1528539343 | Brittani Heller | Nurse Practitioner | 3900 Sunforest Ct Ste 215, Toledo, OH 43623-4440 | 2018-12-06 |
| 1962926097 | Stephanie Hall | Nurse Practitioner | 333 N Summit St, Toledo, OH 43604-1531 | 2017-07-31 |
| 1730293408 | Ellen Marie Jones | Nurse Practitioner | 3404 W Sylvania Ave, Toledo, OH 43623-4467 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756956 | Selena Bruck | Nurse Practitioner | 6230 Hidden Creek Dr, Lorain, OH 44053-4304 | 2020-09-28 |
| 1699382580 | Pamela Dawn Raines | Nurse Practitioner | 4311 Autumn Creek Dr, Springfield, OH 45504-5112 | 2020-09-25 |
| 1275149908 | Allied Onsite Healthcare, LLC | Nurse Practitioner | 5846 Marble Creek St, Dublin, OH 43016-6367 | 2020-09-18 |
| 1780298562 | Bridget Thomas | Nurse Practitioner | 6051 Alexa Ln, Sylvania, OH 43560-3607 | 2020-08-31 |
| 1043823164 | Holly Carol Ostendorf | Nurse Practitioner | 13461 Pearl Rd, Strongsville, OH 44136-3405 | 2020-08-28 |
| 1336759869 | Retha N Strickland | Nurse Practitioner | 10270 Snowflake Ln, Cincinnati, OH 45251-1248 | 2020-08-10 |
| 1841818242 | Your Priorit Heatlh Care | Nurse Practitioner | 1100 Eaton Ave, Hamilton, OH 45013-1403 | 2020-07-12 |
| 1972122513 | Angelina Wong | Nurse Practitioner | 2610 Talmadge Rd, Ottawa Hills, OH 43606-2334 | 2020-04-14 |
| 1316577372 | Jeremy Ford | Nurse Practitioner | 15609 Shirley Ave, Maple Heights, OH 44137-4608 | 2020-01-17 |
| 1134766520 | Anthony Williams | Nurse Practitioner | 4633 Stratford Ln, Columbus, OH 43232-6179 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
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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.