MS. CHARMAINE ELIZABETH HOLLY-DICKENS (NPI# 1497001309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497001309 |
| Entity Type | Individual |
| Full Name | MS. CHARMAINE ELIZABETH HOLLY-DICKENS |
| Other Name | MS. CHARMAINE ELIZABETH HOLLY-DICKENS |
| Credential | LPN |
| Practice Address |
4214 Orchard Dale Dr Nw Apt. 15 Canton OH 44709-4603 |
| Practice Telephone | 3304910325 |
| Mailing Telephone | 3304910325 |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2012-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN095335 | OH | Nursing Service Providers |
| Street Address |
4214 ORCHARD DALE DR NW APT. 15 |
| City | CANTON |
| State | OH |
| Zip Code | 44709-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
| 1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
| 1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
| 1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
| Find all providers in zip 44709 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1154937142 | Heather Anne Houston | Licensed Practical Nurse | 2416 9th St Sw, Canton, OH 44710-1807 | 2020-09-16 |
| 1184234494 | Regina M Cross | Licensed Practical Nurse | 230 Cayuga Ave Nw, Canton, OH 44708-5229 | 2020-08-03 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1386277945 | Travisha Lucius | Licensed Practical Nurse | 1610 Ohio Ave Ne, Canton, OH 44705-1847 | 2020-02-21 |
| 1689206914 | Sade Marie Bradford | Licensed Practical Nurse | 1515 Lippert Rd Ne, Canton, OH 44705-1319 | 2020-02-05 |
| 1326681545 | Tera Vance | Licensed Practical Nurse | 2120 Superior Ave Ne, Canton, OH 44705-2438 | 2019-10-21 |
| 1386293090 | Moshalai Jewell | Licensed Practical Nurse | 3517 12th St Sw, Canton, OH 44710-1503 | 2019-09-05 |
| Find all providers in CANTON | ||||
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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.