JERIE JOHANNA BOLIN (NPI# 1689180622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689180622 |
| Entity Type | Individual |
| Full Name | JERIE JOHANNA BOLIN |
| Credential | MA |
| Practice Address |
117 Health Sciences Bldg 3640 Colonel Glenn Hwy Dayton OH 45435 |
| Mailing Address |
6001 Pine Glen Ln Dayton OH 45424-4476 |
| Practice Telephone | 9377753458 |
| Practice Fax Number | 9377753434 |
| Mailing Telephone | 8599400125 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
117 HEALTH SCIENCES BLDG 3640 COLONEL GLENN HWY |
| City | DAYTON |
| State | OH |
| Zip Code | 45435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921052 | Mara Jolene Neel | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-01-14 |
| 1104466408 | Avantika Gupta | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-01-14 |
| 1902440498 | Emily Chriswell | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2019-10-29 |
| 1659871069 | Laila Nicole Moussi | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy., Dayton, OH 45435 | 2018-02-13 |
| 1861909715 | Jessica Lynn Mccarthy | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2018-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1659854370 | Rachel Heckaman | Student in an Organized Health Care Education/Training Program | Sopp Wright State Univerity 117 Health Science Bldg., 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-09-09 |
| 1508374547 | Somer Leanne Yoho | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-01-11 |
| 1578079810 | Heather Ann Felerski | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg., 3640 Colonel Glenn Hwy., Dayton, OH 45435 | 2017-12-22 |
| 1154771392 | Abigail Ngayan | Counselor | 3640 Colonel Glenn Hwy., 053 Student Union, Dayton, OH 45435 | 2016-06-19 |
| 1144512799 | Adam Horseman | Specialist/Technologist | 3640 Col. Glenn Hwy., Room 356 Nutter Center, Dayton, OH 45435 | 2011-05-13 |
| 1790999589 | Luis Tony Ortiz | Specialist/Technologist | 3640 Colonel Glen Hwy, Room 303 Nutter Center, Dayton, OH 45435 | 2007-05-10 |
| 1164037446 | Jaden D Johnson | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg, Dayton, OH 45435 | 2020-09-13 |
| 1720693484 | Vanessa Prosper | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg., Dayton, OH 45435 | 2020-09-10 |
| Find all providers in zip 45435 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
| 1932729662 | Benjamin Mallicoat | Student in an Organized Health Care Education/Training Program | 128 E Apple St Ste 2800, Dayton, OH 45409-2902 | 2020-04-22 |
| 1306465877 | Chase Smith | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St Bldg 330, Dayton, OH 45428-9000 | 2020-04-14 |
| 1255960233 | Landon Rosevear | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 7, Dayton, OH 45409-2902 | 2020-04-02 |
| 1598392391 | Brett Douglas Foster | Student in an Organized Health Care Education/Training Program | 12 Garret St, Dayton, OH 45410-1226 | 2020-03-24 |
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1275184764 | Rachel Wininger | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building 3640 Colonel Glenn Highway, Dayton, OH 45435-0001 | 2019-09-25 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1245888304 | Melissa Irene Schmerr | Student in an Organized Health Care Education/Training Program | School of Professional Psychology Wright State Universi, 117 Health Science Bldg. 3640 Colonel Glenn Hwy., Dayton, OH 45435-0001 | 2019-08-30 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| Find all providers in DAYTON | ||||
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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.