TAMMY LYNN MICCO (NPI# 1265835102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265835102 |
Entity Type | Individual |
Full Name | TAMMY LYNN MICCO |
Credential | N.P. |
Practice Address |
4650 Hills and Dales Rd Nw Canton OH 44708 |
Practice Telephone | 3306499400 |
Practice Fax Number | 3306498059 |
Mailing Telephone | 3306499400 |
Mailing Fax Number | 3306498059 |
Enumeration Date | 2014-10-07 |
Last Update Date | 2019-10-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NP16567 | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | 16567 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | LICENSE NUMBER | 16567 | 01 |
Street Address |
4650 HILLS AND DALES RD NW |
City | CANTON |
State | OH |
Zip Code | 44708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821094210 | John R Garton | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2005-06-22 |
1174176176 | Eric Williams | Physical Therapy Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2019-07-18 |
1366914939 | Kinga Karacson | Physician Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2018-12-20 |
1245771211 | Malcolm Ford | Specialist/Technologist | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2017-03-10 |
1407392327 | Amy Wellin | Physician Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2017-01-17 |
1235544198 | Bhavnish Bucktowarsing | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2014-06-30 |
1811230956 | Olivia Myers | Physician Assistant | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2013-03-27 |
1568702702 | Genevieve M Baumgardner | Physical Therapist | 4650 Hills and Dales Rd Nw, Suite 100, Canton, OH 44708-6220 | 2013-02-26 |
1760788368 | Dayanand Makey | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2011-01-31 |
1104133321 | Laura R. Pierce | Nurse Practitioner | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2010-09-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
Find all providers in zip 44708 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
1891286928 | Joseph Vincent Bautista Doromal | Nurse Practitioner | 111 Mountain Brook Dr, Canton, GA 30115-9045 | 2018-05-24 |
1245748060 | Renita Roychelle Strickland | Nurse Practitioner | 498 Chattin Dr, Canton, GA 30115-8240 | 2018-01-15 |
1487176921 | Nguyet Tran Tyler | Nurse Practitioner | 1558 Riverstone Pkwy, Canton, GA 30114-2898 | 2017-07-15 |
1255865820 | Mercedita Ungab-canete | Nurse Practitioner | 4019 Sarah Ann Dr, Canton, MI 48188-2193 | 2017-04-20 |
1720447477 | Shafiq U Rehman | Nurse Practitioner | 41667 Quail Ct, Canton, MI 48188-5228 | 2016-02-22 |
1396119145 | Marie Posy | Nurse Practitioner | 506 Blue Mountain Rise, Canton, GA 30114-5713 | 2015-11-17 |
1407231202 | Advanced Wound and Ostomy Solutions | Nurse Practitioner | 203 River Green Ave, Canton, GA 30114-5846 | 2015-07-22 |
1427474527 | Stephen Collins | Nurse Practitioner | 1684 Fallen Timber St Ne, Canton, OH 44721-3858 | 2014-03-13 |
1992030712 | Cheryl Lynn Belopotosky | Nurse Practitioner | 733 Market Ave. Sw, Canton, OH 44702-1018 | 2009-10-13 |
Find all providers in CANTON |
Please comment or provide details below to improve the information on TAMMY LYNN MICCO.
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.