MISS SHAKEILA DEVAUGHN MATLOCK (NPI# 1477049534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477049534 |
| Entity Type | Individual |
| Full Name | MISS SHAKEILA DEVAUGHN MATLOCK |
| Practice Address |
715 Belvedere Ave Se Warren OH 44484-4325 |
| Practice Telephone | 3307661887 |
| Mailing Telephone | 3307661887 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 401637600414 | OH | Nursing Service Related Providers |
| Street Address |
715 BELVEDERE AVE SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1942814835 | Angelika Likely | Nurse's Aide | 423 Southern Blvd Nw Apt 205, Warren, OH 44485-2544 | 2020-09-08 |
| 1124631353 | Tasha L. Clay | Nurse's Aide | 2294 Northwest Blvd Nw, Warren, OH 44485-2305 | 2020-08-27 |
| 1003447079 | Tammie Lynette Shelby | Nurse's Aide | 2686 Wick St Se, Warren, OH 44484-5447 | 2020-01-29 |
| 1790275212 | Danea Nelson | Nurse's Aide | 1925 Southern Blvd Nw Apt 27, Warren, OH 44485-1631 | 2018-05-10 |
| 1164930061 | Sabrina Dorlisa Rodgers | Nurse's Aide | 410 Genesee Ave Ne, Warren, OH 44483-5408 | 2018-01-14 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1407383698 | Destiny Williams | Nurse's Aide | 207 Charles Ave Se, Warren, OH 44483-5903 | 2017-05-18 |
| 1538600614 | Victoria Brogdon | Nurse's Aide | 805 Hoyt St Sw, Warren, OH 44485-3847 | 2017-03-09 |
| 1942746029 | Tosha C Bowers | Nurse's Aide | 2624 Sussex St Se, Warren, OH 44484-4422 | 2017-01-12 |
| 1609324862 | Ensley Thomas Sr. | Nurse's Aide | 1408 Autumn Dr Nw, Warren, OH 44485-2032 | 2016-09-16 |
| Find all providers in WARREN | ||||
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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.