CHETAUN C CAPTAIN (NPI# 1356620629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356620629 |
| Entity Type | Individual |
| Full Name | CHETAUN C CAPTAIN |
| Practice Address |
10260 Peacock Ln Miamisburg OH 45342-0876 |
| Practice Telephone | 9373673058 |
| Mailing Telephone | 9373673058 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN145064 | OH | Nursing Service Providers |
| Street Address |
10260 PEACOCK LN |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-0876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| 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 |
|---|---|---|---|---|
| 1144889593 | Hillard Kelly IIi | Licensed Practical Nurse | 2942 Asbury Ct, Miamisburg, OH 45342-4433 | 2019-06-10 |
| 1659871465 | Jolonda Elaine Miller Jr. | Licensed Practical Nurse | 10331 Springpointe Cir, Miamisburg, OH 45342-0913 | 2018-02-19 |
| 1285169862 | Osayi Marion Ero | Licensed Practical Nurse | 2150 Equestrian Dr, Apt 2b, Miamisburg, OH 45342-6005 | 2017-04-20 |
| 1861852022 | Jason Evans | Licensed Practical Nurse | 511 N 12th St, Miamisburg, OH 45342-1959 | 2016-03-02 |
| 1710366935 | Katina Walker | Licensed Practical Nurse | 9221 Towering Pine Drive, F, Miamisburg, OH 45342-5828 | 2015-05-20 |
| 1104220599 | Krystal Wright | Licensed Practical Nurse | 2050 E Central Ave, Apt E, Miamisburg, OH 45342-7623 | 2014-10-14 |
| 1124420344 | Dwight Crawford | Licensed Practical Nurse | 1133 Dunaway St Apt 8, Miamisburg, OH 45342-3881 | 2014-09-18 |
| 1881093318 | Charles Richard Williams Jr. | Licensed Practical Nurse | 37 Lindamede Ln, Miamisburg, OH 45342-3160 | 2014-08-20 |
| 1528309473 | Amanda Nicole Jackson | Licensed Practical Nurse | 923 Cottage Ave, Miamisburg, OH 45342-1805 | 2013-03-01 |
| 1295081115 | Ayanna Brown | Licensed Practical Nurse | 10355 Springpointe Cir, Apt. B, Miamisburg, OH 45342-0940 | 2012-07-29 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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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.