MRS. CAROL I PEAKE (NPI# 1467635664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467635664 |
| Entity Type | Individual |
| Full Name | MRS. CAROL I PEAKE |
| Other Name | MRS. CAROL I PEAKE |
| Credential | CNP |
| Practice Address |
5830 Woodrow Dr Sylvania OH 43560-1245 |
| Practice Telephone | 4194813493 |
| Mailing Telephone | 4194813493 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2010-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704194858 NP-C | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN-177161 NP-098 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NPI 1 | 1467635664 | 01 |
| OH | CAROL I PEAKE LLC, NPI 2 | 1992015135 | 01 |
| Street Address |
5830 WOODROW DR |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992015135 | Carol I Peake LLC | Medicare Defined Swing Bed Unit | 5830 Woodrow Dr, Sylvania, OH 43560-1245 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320545 | Lynne Martin | Nurse Practitioner | 3914 Barleyton Cir, Sylvania, OH 43560-3504 | 2020-03-03 |
| 1386284172 | Shazeeda Bakhsh | Nurse Practitioner | 6075 Barkwood Ln, Sylvania, OH 43560-2215 | 2020-01-09 |
| 1629533930 | Rachel Baker | Nurse Practitioner | 7640 Sylvania Ave Ste L, Sylvania, OH 43560-9263 | 2019-01-31 |
| 1710466057 | Ahmad S Jallad | Nurse Practitioner | 5651 Elliott Dr., Sylvania, OH 43560-4356 | 2018-08-08 |
| 1679941561 | Raeann Lynn Brodbeck | Nurse Practitioner | 4125 King Rd, Sylvania, OH 43560-4445 | 2015-09-09 |
| 1861869240 | Beth A. Sander | Nurse Practitioner | 4419 Candlewood Ln, Sylvania, OH 43560-3806 | 2015-09-01 |
| 1659787679 | Sarah Wells | Nurse Practitioner | 5308 Harroun Rd Ste 150, Sylvania, OH 43560-2174 | 2014-07-10 |
| 1831466010 | Sharon Louise Loukx | Nurse Practitioner | 7510 Sylvania Ave, Sylvania, OH 43560-9725 | 2011-11-16 |
| 1952621674 | Teresita Maria Smith | Nurse Practitioner | 626 Old River Rd, Sylvania, GA 30467-3315 | 2010-06-03 |
| 1679516777 | Karen Beale Anderson | Nurse Practitioner | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 | 2006-06-14 |
| Find all providers in SYLVANIA | ||||
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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.