JACQUELYN CRUIKSHANK (NPI# 1669096038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669096038 |
| Entity Type | Individual |
| Full Name | JACQUELYN CRUIKSHANK |
| Practice Address |
14701 Detroit Ave Ste 620 Lakewood OH 44107-4180 |
| Mailing Address |
38882 Mentor Ave Willoughby OH 44094-7875 |
| Practice Telephone | 2167666080 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN365633 | OH | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14701 Detroit Ave Ste 620, Lakewood, OH 441074180 | 2167666080 |
| Street Address |
14701 DETROIT AVE STE 620 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164053591 | Jennifer Johnstone | Social Worker | 14701 Detroit Ave Ste 620, Lakewood, OH 44107-4180 | 2020-02-04 |
| 1689283434 | Ashley Koch | Registered Nurse | 14701 Detroit Ave Ste 620, Lakewood, OH 44107-4180 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1710504311 | Jessica Lee Johnson | Registered Nurse | 7373 W 6th Ave, Lakewood, CO 80214-4518 | 2020-06-30 |
| 1053947879 | Constance E Logue | Registered Nurse | 1752 S Kline Way, Lakewood, CO 80232-6372 | 2020-03-13 |
| 1457981748 | Subita Thapa | Registered Nurse | 5112 Meadow Wood Ave, Lakewood, CA 90712-2856 | 2020-01-25 |
| 1396384897 | April Leann Ranck | Registered Nurse | 5016 Fidler Ave, Lakewood, CA 90712-2704 | 2019-12-31 |
| 1982257440 | Deborah Irene Joyaux | Registered Nurse | 10913 Villa Ln Sw, Lakewood, WA 98499-2275 | 2019-07-23 |
| 1124683602 | Mona Lilly Shirazi Welz | Registered Nurse | 1667 Cole Blvd Ste 200, Lakewood, CO 80401-3320 | 2019-05-09 |
| 1518420678 | Anita Amery Brighton | Registered Nurse | 6522 100th St Sw, Lakewood, WA 98499-1712 | 2019-04-07 |
| 1609347103 | Kathleen Jouriles | Registered Nurse | 12518 Clifton Blvd, Lakewood, OH 44107-1526 | 2018-12-09 |
| 1912477001 | Maria Cristina Walsh | Registered Nurse | 12530 Vine Maple Dr Sw, Lakewood, WA 98499-1134 | 2018-11-30 |
| 1063982429 | Sheva Gluck | Registered Nurse | 1382 Lanes Mill Rd, Lakewood, NJ 08701-3833 | 2018-11-28 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on JACQUELYN CRUIKSHANK.
| 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.