MRS. SHELLY MARIE TATE (NPI# 1710277876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710277876 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY MARIE TATE |
| Credential | LPN |
| Practice Address |
4357 County Road 10 Bryan OH 43506-9717 |
| Practice Telephone | 4195515923 |
| Mailing Telephone | 4195515923 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN085307 | OH | Nursing Service Providers |
| Street Address |
4357 COUNTY ROAD 10 |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| Find all providers in zip 43506 | ||||
| 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 |
|---|---|---|---|---|
| 1497398465 | Amanda Michelle Burdett-cruz | Licensed Practical Nurse | 5137 Old Spanish Trl, Bryan, TX 77807-7697 | 2019-10-23 |
| 1598236820 | Tiffany Harris | Licensed Practical Nurse | 1413 Tisdale St, Bryan, TX 77808-5558 | 2018-12-16 |
| 1043513963 | Rhonda S Shrider | Licensed Practical Nurse | 102 Oak Meadows Dr, Bryan, OH 43506-8526 | 2010-12-15 |
| 1134455124 | Laurie Ann Criswell | Licensed Practical Nurse | 327 S Allen St, Bryan, OH 43506-1883 | 2009-10-26 |
| 1841448529 | Mary Elizabeth Reader | Licensed Practical Nurse | 5383 County Road 12, Bryan, OH 43506-9734 | 2008-09-05 |
| 1609040385 | Mary M Lamantia | Licensed Practical Nurse | 435 E Wilson St, Bryan, OH 43506-1737 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
| 1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
| 1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
| 1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.