MRS. JANE R BAGNALL


Address: 209 Center St, Chardon, OH 44024-1189
Phone: 4402052670

MRS. JANE R BAGNALL (NPI# 1366091092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366091092
Entity Type Individual
Full Name MRS. JANE R BAGNALL
Credential PRS
Practice Address 209 Center St
Chardon
OH 44024-1189
Practice Telephone 4402052670
Practice Fax Number 4402858543
Mailing Telephone 4402052670
Mailing Fax Number 4402858543
Enumeration Date 2019-09-05
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 0001422 OH Other Service Providers

Office Location

Street Address 209 CENTER ST
City CHARDON
State OH
Zip Code 44024-1189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356872733 James Alexis Konnoff Counselor 209 Center St, Chardon, OH 44024-1189 2017-03-27
1831297852 Lake-geauga Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 209 Center St, Unit E, Chardon, OH 44024-1189 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992336770 Amanda Nicole Nelson Technician, Other 133 Up Main St, Chardon, OH 44024 2020-01-30
1679067011 Janai Marshae Seng Dentist 401 South Street #3a, Chardon, OH 44024 2018-06-19
1376036475 Kasandra Leigh Chapman Social Worker 12941 Ravenna Road, Chardon, OH 44024 2018-06-13
1275068652 Danielle Tilton Nurse Practitioner 531 Fifth Ave, Chardon, OH 44024 2017-04-24
1881057040 Erin Marie Moore Counselor 203 Main St., Chardon, OH 44024 2016-04-04
1649689886 Hope Anne Super Speech-Language Pathologist 100 7th Av Suite 255, Chardon, OH 44024 2014-08-12
1740600022 Elisha Tzvi Fredman Student in an Organized Health Care Education/Training Program 13207 Chardon Road, Ravenna, OH 44024 2014-04-24
1083039309 Jamie Delvecchio Family Medicine 150 7th Ave Ste 200, Chardon, OH 44024 2014-02-24
1174947212 Frank Scarano Psychologist 470 Center Street, Chardon, OH 44024 2014-02-10
1659706497 Jamie Henderson Physical Therapy Assistant 9348 South Brown Rd, Chardon, OH 44024 2013-09-12
Find all providers in zip 44024

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669946224 John Dorsey Peer Specialist 695 South St, Chardon, OH 44024-1474 2019-01-17
1750888269 Deborah Lynn Kowal Peer Specialist 12557 Ravenwood Dr, Chardon, OH 44024-9009 2018-04-11

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City CHARDON
Zip Code 44024

Improve Information

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Dataset Information

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.

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