CASSANDRA DYKIN (NPI# 1710332176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710332176 |
| Entity Type | Individual |
| Full Name | CASSANDRA DYKIN |
| Practice Address |
2181 Ambleside Dr Cleveland OH 44106-4645 |
| Mailing Address |
10157 Independence Dr North Royalton OH 44133-3404 |
| Practice Telephone | 2167912968 |
| Mailing Telephone | 4406389266 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | PTA.10429 | OH | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2181 AMBLESIDE DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533721 | Judson | Skilled Nursing Facility | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2005-07-27 |
| 1730661448 | Kelly A Romano | Speech-Language Pathologist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2018-08-30 |
| 1154826378 | Fpb Clinical Practice LLC | Clinic/Center | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2018-03-28 |
| 1942712955 | Samantha Josette Farrar | Physical Medicine & Rehabilitation | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2017-10-31 |
| 1134640725 | Stacy Allyn Brubaker | Nurse Practitioner | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2017-07-04 |
| 1730631540 | Matthew Delewski | Occupational Therapist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2016-10-27 |
| 1144629775 | Gretchen Slater | Physical Therapy Assistant | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-20 |
| 1326447350 | Patricia A. White | Occupational Therapy Assistant | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-14 |
| 1598173668 | Alexandria Notaro | Occupational Therapist | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2014-08-01 |
| 1487084505 | Genesis Rehab | Nursing Care | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2013-11-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
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| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730332 | Cindy Lynn Cochran | Specialist/Technologist, Other | 110 Dunhill Pl Nw, Cleveland, TN 37311-3866 | 2019-10-05 |
| 1508952995 | Diane Mary Leskiewicz | Specialist/Technologist, Other | 10701 East Blvd, 116a(w), Cleveland, OH 44106-1702 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397293 | Mikayla Brooke Hyland | Specialist/Technologist, Other | 32087 Electric Blvd, Avon Lake, OH 44012-1852 | 2019-10-13 |
| 1194280750 | Jason L Lanning | Specialist/Technologist, Other | 5334 Honeyleaf Way, Dayton, OH 45424-4732 | 2019-02-07 |
| 1235501305 | Jesse Lee Neighbors | Specialist/Technologist, Other | 104 N Rogers St, 104 N Rogers St, Mount Vernon, OH 43050-1834 | 2015-10-28 |
| 1255725206 | Ryan Centini | Specialist/Technologist, Other | 726 Preservation St, Fairborn, OH 45324-4492 | 2015-03-26 |
| 1255758900 | Diane Webb | Specialist/Technologist, Other | 15724 State Route 550, Fleming, OH 45729-5065 | 2014-03-19 |
| 1841518040 | Lisa Louden Witherow | Specialist/Technologist, Other | 15 S Liberty St, Powell, OH 43065-9301 | 2010-05-12 |
| 1073699138 | Rachel Ann Hayes | Specialist/Technologist, Other | 4784 Weybridge Rd W, Apartment A, Columbus, OH 43220-2752 | 2006-10-31 |
| 1790386191 | Tiffany Michele Frye | Specialist/Technologist, Other | 8118 Corporate Way Ste 212, Mason, OH 45040-9560 | 2020-11-03 |
| 1952966343 | Brandon Satoru Cox | Specialist/Technologist, Other | 551 1/2 E Main St, Lancaster, OH 43130-3809 | 2019-05-01 |
| 1902368632 | Genevieve Andree Celli | Specialist/Technologist, Other | 551 1/2 E Main St, Lancaster, OH 43130-3809 | 2019-04-02 |
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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.