TAMMARA MARIE POULLAS (NPI# 1710261169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710261169 |
| Entity Type | Individual |
| Full Name | TAMMARA MARIE POULLAS |
| Practice Address |
1050 Fox Den Trl Canfield OH 44406-9394 |
| Practice Telephone | 3307994030 |
| Mailing Telephone | 3307994030 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 093230 | OH | Nursing Service Providers |
| Street Address |
1050 FOX DEN TRL |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-9394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1386102911 | Janet Eggleston | Licensed Practical Nurse | 6729 Tippecanoe Rd Unit 1, Canfield, OH 44406-9105 | 2019-03-02 |
| 1932535077 | Nancy M Mcneal | Licensed Practical Nurse | 7060 Crory Rd, Canfield, OH 44406-9719 | 2013-09-20 |
| 1083058036 | Cynthia M Goodall | Licensed Practical Nurse | 7900 W Calla Rd, Canfield, OH 44406-9440 | 2013-04-22 |
| 1154668606 | Gayle Derosa | Licensed Practical Nurse | 6599 W Middletown Rd, Canfield, OH 44406-9417 | 2013-01-03 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1932333275 | Margaret Ann Campanelli | Licensed Practical Nurse | 137 Carriage Ln, #202, Canfield, OH 44406-1555 | 2009-05-13 |
| 1184863904 | Patricia Irene Andio | Licensed Practical Nurse | 4445 S Turner Rd, Canfield, OH 44406-9705 | 2009-02-18 |
| 1346451614 | Marithanna Kinnick | Licensed Practical Nurse | 3792 Starr Centre Dr, Canfield, OH 44406 | 2007-05-25 |
| 1316158231 | Lawanda Treneia Mitchell | Licensed Practical Nurse | 3792 Starrs Centre Dr, Canfield, OH 44406-8002 | 2007-05-24 |
| 1174587497 | Sandra Lee Evans | Licensed Practical Nurse | 190 Saybrooke, Canfield, OH 44406 | 2006-04-13 |
| Find all providers in CANFIELD | ||||
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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.