WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES (NPI# 1417947037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417947037 |
| Entity Type | Organization |
| Organization Name | WRIGHT STATE UNIVERSITY STUDENT HEALTH SERVICES |
| Practice Address |
3640 Colonel Glenn Hwy 051 Student Union Dayton OH 45435 |
| Practice Telephone | 9377752552 |
| Practice Fax Number | 9377752277 |
| Mailing Telephone | 9377752552 |
| Mailing Fax Number | 9377752277 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | LEATHA MAE ROSS (DIRECTOR) |
| Authorized Official Telephone | 9377752552 |
| Authorized Official Credential | PHD, CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN-238463 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3640 COLONEL GLENN HWY 051 STUDENT UNION |
| City | DAYTON |
| State | OH |
| Zip Code | 45435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574586 | Micky M Sharma | Psychologist | 3640 Colonel Glenn Hwy, Fawc, Dayton, OH 45435-0001 | 2005-08-02 |
| 1619576246 | Kayla Blanton | Home Health | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-24 |
| 1033718432 | Lily Taplin | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-19 |
| 1326655259 | Katelyn Brown | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-24 |
| 1568078145 | Madeline Grace Skultety | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-19 |
| 1003422817 | Marguerite Mcdonnell | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-17 |
| 1295340412 | Jonah Buczewski | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-14 |
| 1861007551 | Lilliona Rogers | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1013522606 | Timea Tozser | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1194330035 | Robert Nathan Ilagan | Psychologist | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1659854370 | Rachel Heckaman | Student in an Organized Health Care Education/Training Program | Sopp Wright State Univerity 117 Health Science Bldg., 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-09-09 |
| 1508374547 | Somer Leanne Yoho | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-01-11 |
| 1689180622 | Jerie Johanna Bolin | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2017-12-28 |
| 1578079810 | Heather Ann Felerski | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg., 3640 Colonel Glenn Hwy., Dayton, OH 45435 | 2017-12-22 |
| 1154771392 | Abigail Ngayan | Counselor | 3640 Colonel Glenn Hwy., 053 Student Union, Dayton, OH 45435 | 2016-06-19 |
| 1144512799 | Adam Horseman | Specialist/Technologist | 3640 Col. Glenn Hwy., Room 356 Nutter Center, Dayton, OH 45435 | 2011-05-13 |
| 1790999589 | Luis Tony Ortiz | Specialist/Technologist | 3640 Colonel Glen Hwy, Room 303 Nutter Center, Dayton, OH 45435 | 2007-05-10 |
| 1164037446 | Jaden D Johnson | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg, Dayton, OH 45435 | 2020-09-13 |
| Find all providers in zip 45435 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1760094155 | Amanda Kenney | Nurse Practitioner | 5619 Hugh Dr, Dayton, OH 45459-1618 | 2020-08-18 |
| 1295371177 | Sophia Arnold | Nurse Practitioner | 5242 Rucks Rd, Dayton, OH 45417-8221 | 2019-11-26 |
| 1811548092 | April Nicole Peveto | Nurse Practitioner | 101 S Prairie St, Dayton, TX 77535-2819 | 2019-09-27 |
| 1659925253 | Marian Kimara Doukoure | Nurse Practitioner | 2615 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-31 |
| 1396200523 | Robert Andre De Roziere Jr. | Nurse Practitioner | Maria Joseph Care Center, 4780 Salem Avenue, Dayton, OH 45416 | 2019-02-01 |
| 1255804795 | Kathlene Jacoby | Nurse Practitioner | 7700 Washington Village Dr Ste 230, Dayton, OH 45459-4094 | 2019-01-08 |
| 1952878811 | Kenneth Howard | Nurse Practitioner | 101 S Prairie St Ste D, Dayton, TX 77535-2819 | 2018-10-30 |
| 1053895789 | Lori Bickett | Nurse Practitioner | 33 W Rahn Rd # 102, Dayton, OH 45429-2219 | 2018-09-19 |
| 1720571193 | Shelby Herbst | Nurse Practitioner | 7076 Corporate Way Ste 201, Dayton, OH 45459-4246 | 2018-06-11 |
| Find all providers in DAYTON | ||||
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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.