ALICIA D KING (NPI# 1356844823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356844823 |
| Entity Type | Individual |
| Full Name | ALICIA D KING |
| Practice Address |
24451 Lake Shore Blvd Euclid OH 44123 |
| Mailing Address |
24451 Lake Shore Blvd Euclid OH 44123-1272 |
| Practice Telephone | 5204316457 |
| Mailing Telephone | 5204316457 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
150731 | OH | Behavioral Health & Social Service Providers |
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 34-1836284 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3746 Prospect Ave E, Cleveland, OH 441152706 | 2163916672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033344965 | Alicia Maria King | Community Health Worker | 415 Glenwood Ave, Dwn, Rochester, NY 14613-2209 | 2009-05-21 |
| 1588805261 | Alicia King | Registered Nurse | 4725 Dry Valley Rd, Radford, VA 24141-6303 | 2009-03-10 |
| 1184888471 | Alicia Leashu King | Pediatrics | 455 E Columbia St Ste 201&6, Long Beach, CA 90806-1620 | 2008-07-15 |
| 1104860287 | Alicia D King | Family Medicine | 172 Professional Pkwy, Troy, MO 63379-2823 | 2006-06-16 |
| 1790254282 | Alicia Jolyn King | Counselor | 9320 Sw Barbur Blvd Ste 200, Portland, OR 97219-5499 | 2018-11-14 |
| 1316435456 | Alicia King | Counselor | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2018-04-24 |
| 1104354877 | Alicia King | Dentist | 1660 S State Route 260, Cottonwood, AZ 86326-5110 | 2017-05-25 |
| 1255884359 | Alicia Ann King | Family Medicine | 315 S Osteopathy Ave, Family Medicine Residency, Kirksville, MO 63501-6401 | 2016-07-26 |
| 1083964423 | Alicia King | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-09-13 |
| Street Address |
24451 LAKE SHORE BLVD |
| City | EUCLID |
| State | OH |
| Zip Code | 44123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174667463 | Monica Laureen Davis-kirkman | Licensed Practical Nurse | 24451 Lake Shore Blvd, 303w, Euclid, OH 44123-1272 | 2007-02-19 |
| 1598200784 | Kiara Johnson | Registered Nurse | 24451 Lake Shore Blvd, Apt 1121, Euclid, OH 44123-1272 | 2016-12-27 |
| 1356624001 | Jakira Simone Curry | Nurse's Aide | 24451 Lake Shore Blvd, Apt.1019, Euclid, OH 44123-1272 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932502176 | Adrian Thompson Sr. | Driver | 23206 Gay Street, Euclid, OH 44123 | 2014-10-02 |
| 1942611058 | Christine Anderson | Licensed Practical Nurse | 24151 Devoe Ave, Euclid, OH 44123 | 2014-05-12 |
| 1396175352 | Shrease Sims | Clinical Nurse Specialist | 20890 Wilmore Ave, Euclid, OH 44123 | 2013-11-12 |
| 1588916035 | A Better Way Health Care Services of Ohio, Inc. | Home Health | 23800 Puritan Rd, Euclid, OH 44123 | 2012-10-09 |
| 1053616532 | D.d.c.t. Enterprises | In Home Supportive Care | 24455 Lakeshore Blvd Apt 423, Euclid, OH 44123 | 2011-01-14 |
| 1528384559 | J & C Medical Supply Company | Durable Medical Equipment & Medical Supplies | 24451 Lakeshore Blvd, Suite 1503 West, Euclid, OH 44123 | 2010-04-15 |
| 1770808628 | Lakia Johnson | Registered Nurse | 901 East 223rd Street, Euclid, OH 44123 | 2010-04-05 |
| 1356670673 | Sheriece Corlynn Stewart | Registered Nurse | 246 E.216th St, Euclid, OH 44123 | 2009-12-16 |
| 1689803140 | Dawnyele Tay St. Leone | Massage Therapist | 22308 Lake Shore Blvd., Euclid, OH 44123 | 2009-07-06 |
| 1073764999 | Samantha Ann Kuhn | Massage Therapist | 22308 Lakeshore, Euclid, OH 44123 | 2008-10-09 |
| Find all providers in zip 44123 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275163008 | Michael Eugene Cook | Peer Specialist | 310 E 232nd St, Euclid, OH 44123-1502 | 2020-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| 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.