MRS. DORRENA LEA DECK (NPI# 1609939222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609939222 |
| Entity Type | Individual |
| Full Name | MRS. DORRENA LEA DECK |
| Credential | C.N.P. |
| Practice Address |
341 E. Main St. Clarksville OH 45113 |
| Mailing Address |
3526 Antioch Rd Wilmington OH 45177-8745 |
| Practice Telephone | 9372892455 |
| Mailing Telephone | 9373825311 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-04250 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
341 E. MAIN ST. |
| City | CLARKSVILLE |
| State | OH |
| Zip Code | 45113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770015786 | Megan Whyte | Specialist/Technologist | 3827 Pansy Road, Clarksville, OH 45113 | 2017-03-29 |
| 1639538093 | James Simpson | Counselor | 30 East Broad Street, Floor 11, Columbus, OH 45113 | 2016-02-15 |
| 1821376112 | Amber Yvonne Fisher | Home Health Aide | 9014 Us Highway 3 W, Clarksville, OH 45113 | 2011-08-03 |
| 1417105081 | Colleen Yvonne Fisher | Registered Nurse | 9014 State Route 3 West, Clarksville, OH 45113 | 2008-09-08 |
| 1053519421 | Tommy R. Tigar, M.d., Inc. | Specialist | 341 E. Main Street, Clarksville, OH 45113 | 2007-07-06 |
| 1073668802 | Clinton-warren Joint Fire & Rescue District | Ambulance | 82 Springhill Rd, Clarksville, OH 45113 | 2007-01-24 |
| 1063883718 | Jennifer Allen | Licensed Practical Nurse | 2556 Lebanon Rd, Clarksville, OH 45113 | 2015-10-07 |
| 1487798757 | Med A Call Corporation | Durable Medical Equipment & Medical Supplies | 87 Brittany Dr, Clarksville, OH 45113-7001 | 2007-02-19 |
| 1023439601 | Home Matters LLC | Home Health | 1132 Indian Lakes Blvd, Clarksville, OH 45113-7604 | 2013-12-26 |
| 1700026135 | Clinton Massie Local School District | Local Education Agency (LEA) | 2556 Lebanon Rd, Clarksville, OH 45113-8201 | 2009-02-25 |
| Find all providers in zip 45113 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1497367981 | Kinjal Bhatt | Nurse Practitioner | 5805 Wild Orange Gate, Clarksville, MD 21029-1657 | 2020-08-18 |
| 1568087625 | Holly A Woosley | Nurse Practitioner | 746 W Kenwood Ave, Clarksville, IN 47129-2545 | 2020-06-14 |
| 1881222461 | Michelle G Rowan | Nurse Practitioner | 13515 Highland Rd, Clarksville, MD 21029-1427 | 2020-03-30 |
| 1669026258 | Ashley M Hettinger | Nurse Practitioner | 1455 Cedar St Ste D, Clarksville, IN 47129-7700 | 2019-07-31 |
| 1093375040 | Scarlett Hancock | Nurse Practitioner | 116 Commerce St, Clarksville, TN 37040-3641 | 2019-06-20 |
| 1336702067 | Leslea Renae Streetman | Nurse Practitioner | 525 Rosewood Dr, Clarksville, TN 37043-5126 | 2019-04-18 |
| 1629556980 | Julie Mcintosh | Nurse Practitioner | 1690 Fort Campbell Blvd, Clarksville, TN 37042-7531 | 2018-07-30 |
| 1720576218 | Chelsey Meek | Nurse Practitioner | 4101 Lena Ct, Clarksville, TN 37043-7625 | 2018-04-30 |
| 1316440696 | Kayla Vanden Hull | Nurse Practitioner | 3147 Cross Ridge Dr, Clarksville, TN 37040-5799 | 2018-03-13 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 45113 |
Please comment or provide details below to improve the information on MRS. DORRENA LEA DECK.
| 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.