KATHRYN BANGHAM (NPI# 1700208204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700208204 |
| Entity Type | Individual |
| Full Name | KATHRYN BANGHAM |
| Credential | APRN |
| Practice Address |
6100 Rockside Woods Blvd N Suite 425 Independence OH 44131-2366 |
| Mailing Address |
25684 Hidden Acres Dr Westlake OH 44145-4707 |
| Practice Telephone | 2166432780 |
| Mailing Telephone | 4402891380 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA 15398-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6100 ROCKSIDE WOODS BLVD N SUITE 425 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413003 | Mary E Elchlinger | Nurse Practitioner | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2005-08-01 |
| 1942736368 | Dale Steele | Nurse Practitioner | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2017-05-04 |
| 1508303751 | Meghan Kestner | Nurse Practitioner | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2017-01-26 |
| 1164875415 | Kristy Lynn Leininger | Registered Nurse | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2016-07-21 |
| 1720440688 | Daniel Skully | Nurse Practitioner | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2016-03-22 |
| 1093176539 | Emily Joanne Cooper | Nurse Practitioner | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2016-03-11 |
| 1275993578 | Diana Christine Scott | Clinical Nurse Specialist | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2016-02-29 |
| 1619361201 | Jamie Lee Werts | Nurse Practitioner | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2015-03-23 |
| 1245623230 | Joni Lyn Ruffner | Nurse Practitioner | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2015-03-15 |
| 1063814069 | Renee Jennifer Andree | Nurse Practitioner | 6100 Rockside Woods Blvd N, Ste 425, Independence, OH 44131-2366 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944815 | Lauren Narduzzi | Nurse Practitioner | 8755 Hillside Rd, Independence, OH 44131-5424 | 2020-08-24 |
| 1699303735 | Aaron Mccoy | Nurse Practitioner | 11509 Staffordsburg Rd, Independence, KY 41051-7759 | 2020-04-01 |
| 1851922629 | Integrated Health and Wellness LLC | Nurse Practitioner | 281 Martin Luther King Jr St, Independence, LA 70443-2386 | 2020-01-30 |
| 1467010298 | Francina Contessa Whitley | Nurse Practitioner | 17020 E Us Highway 40 Ste 5&6, Independence, MO 64055-5361 | 2019-06-05 |
| 1033777545 | Joshua Clayton Smith | Nurse Practitioner | 12613 E 41st Ter S, Independence, MO 64055-4420 | 2019-05-30 |
| 1326539578 | Brenton Paul Wagner | Nurse Practitioner | 4801 Acorn Dr Ste B, Independence, OH 44131-2566 | 2018-05-23 |
| 1649791468 | Danielle Davone Boguslaw | Nurse Practitioner | 4731 S Cochise Dr Ste 100, Independence, MO 64055-6975 | 2017-07-01 |
| 1063951101 | April Altice | Nurse Practitioner | 815 N Noland Rd Ste 6, Independence, MO 64050-2975 | 2017-02-22 |
| 1184173924 | Tina Michelle Ross | Nurse Practitioner | 1500 W White Oak St, Independence, MO 64050-2559 | 2016-09-21 |
| 1477907830 | Christina M Reser | Nurse Practitioner | 16912 E Hart Ave, Independence, MO 64055-3040 | 2016-04-21 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on KATHRYN BANGHAM.
| 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.