TRISTA J ARCHER (NPI# 1518422070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518422070 |
| Entity Type | Individual |
| Full Name | TRISTA J ARCHER |
| Credential | QMHS |
| Practice Address |
40060 National Rd Bethesda OH 43719-9763 |
| Mailing Address |
2000 Noble Dr Wooster OH 44691-5353 |
| Practice Telephone | 7407820092 |
| Mailing Telephone | 3302643232 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 172249 | OH | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
40060 NATIONAL RD |
| City | BETHESDA |
| State | OH |
| Zip Code | 43719-9763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447275821 | North Point Consulting and Behavioral Health Services Inc. | Public Health or Welfare | 40060 National Rd, Bethesda, OH 43719-9763 | 2006-07-13 |
| 1386276749 | Jeffrey P Prohaska | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2020-02-04 |
| 1396375580 | Martine J Green | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2020-01-16 |
| 1639711021 | Randy Esaw | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2019-10-17 |
| 1528616760 | Donald Ryan Grear | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2019-08-30 |
| 1437703485 | Natasha Price | Social Worker | 40060 National Rd, Bethesda, OH 43719-9763 | 2019-07-29 |
| 1952962367 | Kyle Swann | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2019-06-26 |
| 1093286809 | Jared Stone | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2018-12-06 |
| 1427526011 | Brandy Smith | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2018-11-13 |
| 1790253623 | Heidi Sano | Case Manager/Care Coordinator | 40060 National Rd, Bethesda, OH 43719-9763 | 2018-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932439940 | Anita J Whiteley | Licensed Practical Nurse | 64129 North Johnson Road, Bethesda, OH 43719 | 2010-01-14 |
| 1679720759 | Scott Hedrick | Counselor | 40060 National Road, Bethesda, OH 43719 | 2008-08-20 |
| 1396966347 | Patty Ann Beckett | Home Health Aide | 200 Belmont Road, Apt. 39, Bethesda, OH 43719 | 2007-05-01 |
| 1891846937 | Village of Bethesda | Ambulance | 103 East Spring Street, Bethesda, OH 43719 | 2007-01-16 |
| 1194972281 | Thomas Perrone | Counselor | 40060 National Road, Bethesda, OH 43719 | 2008-08-20 |
| 1861649949 | Patricia Allen | Counselor | 40060 National Road, Bethesda, OH 43719 | 2008-08-20 |
| 1770730855 | Donald Lawson | Counselor | 40060 National Road, Bethesda, OH 43719 | 2008-08-20 |
| 1104073287 | Jason Frohnapfel | Counselor | 40060 National Road, Bethesda, OH 43719 | 2008-08-20 |
| 1538767256 | Team Consulting LLC | Day Training, Developmentally Disabled Services | 109 Washington St, Bethesda, OH 43719-7530 | 2020-10-14 |
| 1407489909 | Lisa Marie Gatten | Registered Nurse | 223 Lake St # 54, Bethesda, OH 43719-7532 | 2020-02-13 |
| Find all providers in zip 43719 | ||||
| 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 |
|---|---|---|---|---|
| 1336404094 | Jill M Horn | Licensed Practical Nurse | 39816 Repik Rd, Bethesda, OH 43719-9730 | 2012-07-09 |
| 1013207448 | Jessica Lynn Craig | Licensed Practical Nurse | 39271 Dory Mill Rd, Bethesda, OH 43719-9725 | 2011-04-19 |
| 1932439940 | Anita J Whiteley | Licensed Practical Nurse | 64129 North Johnson Road, Bethesda, OH 43719 | 2010-01-14 |
| 1922591163 | Yvonne Medina | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2018-06-12 |
| 1740704345 | Tina Louise Hatcher | Licensed Practical Nurse | 111 Maple Ave, Bethesda, OH 43719-9771 | 2017-07-26 |
| 1235526633 | Deborah Wallace | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-04-23 |
| 1760899025 | Latoya Woodroffe | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2014-07-18 |
| 1598192809 | Darmawai Salley | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2013-10-01 |
| 1003150772 | April Dawn Pyles | Licensed Practical Nurse | 39271 Dory Mill Rd, Bethesda, OH 43719-9725 | 2012-11-19 |
| 1477846723 | Joanne Marie Lucas | Licensed Practical Nurse | 222 Maple Ave, Bethesda, OH 43719-9609 | 2011-05-19 |
| Find all providers in BETHESDA | ||||
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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.