TRINA A KINNEBREW (NPI# 1669975215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669975215 |
| Entity Type | Individual |
| Full Name | TRINA A KINNEBREW |
| Practice Address |
11811 Shaker Blvd Ste 123 Cleveland OH 44120-1927 |
| Practice Telephone | 2162422990 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
36D2121863 | OH | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
11811 SHAKER BLVD STE 123 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609917855 | Cynthia Miller | Counselor | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2007-02-09 |
| 1083245641 | Lindsay Phillips-goodwin | Case Manager/Care Coordinator | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2020-01-31 |
| 1164916805 | Mark Martin | Counselor | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-06-17 |
| 1336641596 | Direct Health Solutions Hr, LLC | Clinical Medical Laboratory | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-03-05 |
| 1376050542 | Proud To Be, Inc | Clinic/Center | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-01-09 |
| 1669989703 | Kc Center for Health and Wellness, LLC | Psychiatry & Neurology | 11811 Shaker Blvd Ste 123, Cleveland, OH 44120-1927 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431364 | Ghunwa Nakouzi | Pathology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-12-16 |
| 1780065300 | Shulin Zhang | Pathology | 10524 Euclid Ave, 6th Floor, W.o. Walker Center, Cleveland, OH 44106-2205 | 2015-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234868 | Ibrahim Farah | Pathology | 3055 Cleveland Ave Ste B, Columbus, OH 43224-3602 | 2020-04-21 |
| 1962833558 | Liming Wang | Pathology | 8285 Darrow Rd # 101, Twinsburg, OH 44087-2307 | 2013-12-06 |
| 1285268557 | Mei-hui Lin | Pathology | 841 Steubenville Ave, Cambridge, OH 43725-2301 | 2020-02-26 |
| 1588164842 | Sihe Wang | Pathology | 1 Perkins Sq, Akron, OH 44308-1063 | 2018-02-13 |
| 1417386988 | Nina E. King | Pathology | 6000 S Mason Montgomery Rd, Mason, OH 45040-3706 | 2013-11-05 |
Please comment or provide details below to improve the information on TRINA A KINNEBREW.
| 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.