NICOLE MARIE WURSTLE (NPI# 1598288185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598288185 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE WURSTLE |
| Credential | PA-C |
| Practice Address |
1221 S Trimble Rd Bldg C Mansfield OH 44907-2200 |
| Practice Telephone | (614) 664-3595 |
| Mailing Telephone | 6146643595 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.005159RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1221 S TRIMBLE RD BLDG C |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639261845 | David Robert Krenrick | Social Worker | 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 | 2006-09-28 |
| 1750990438 | Hope419 | Community/Behavioral Health | 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 | 2020-07-28 |
| 1619289881 | Johanna S. Wilson | Psychiatry & Neurology | 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 | 2010-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710297155 | Kara Leigh Kehoe | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2010-10-19 |
| 1366558520 | Rita Roantree Foley | Physician Assistant | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-08-21 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1396384434 | Lauren Colleen Bates | Physician Assistant | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-06 |
| 1881231637 | Okechukwu Aniagoh | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2019-11-27 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1932671211 | Joseph Kleinmann | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-12-26 |
| 1881164010 | Mid-ohio Emergency Group, LLC | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-11-30 |
| 1326528993 | Alexa D Philipose | Physician Assistant | 801 Matlock Rd, Mansfield, TX 76063-9174 | 2018-08-14 |
| 1073091245 | Joshua Dewayne Wright | Physician Assistant | 2975 E Broad St Ste 200, Mansfield, TX 76063 | 2018-07-31 |
| Find all providers in MANSFIELD | ||||
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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.