JASON W. ULITZSCH (NPI# 1720330657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720330657 |
| Entity Type | Individual |
| Full Name | JASON W. ULITZSCH |
| Credential | CNP |
| Practice Address |
5150 Sandy Ln Fairfield OH 45014-2738 |
| Practice Telephone | 5138969595 |
| Practice Fax Number | 5138964171 |
| Mailing Telephone | 5138969595 |
| Mailing Fax Number | 5138964171 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP13672 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5150 SANDY LN |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447241260 | David Greenblatt | Internal Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2005-11-01 |
| 1548770597 | Katherine Hoban Keating | Registered Nurse | 5150 Sandy Ln, Fairfield, OH 45014 | 2017-10-04 |
| 1407301112 | Kendra Chesnut | Nurse Practitioner | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2016-08-23 |
| 1588004451 | Michelle Ren Laugle | Internal Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2013-06-25 |
| 1063778454 | Mitul Rajendra Dadhania | Psychiatry & Neurology | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2012-04-10 |
| 1508027301 | G Squared | Internal Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2008-06-24 |
| 1104913508 | Diane Lynn Armstrong | Family Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2006-10-06 |
| 1679591234 | Samantha Ann Wood | Internal Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2006-07-18 |
| 1699717504 | Md. Wahidul Islam | Internal Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2006-06-12 |
| 1073573218 | Edward B. Herzig | Internal Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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|---|---|---|---|---|
| 1992255186 | Lisa M. Downs | Nurse Practitioner | 275 Beck Ave # Ms 32-200, Fairfield, CA 94533-6804 | 2016-10-11 |
| 1932471927 | Kara Sanderson | Nurse Practitioner | 2303 Easton Tpke, Fairfield, CT 06825-1101 | 2012-02-06 |
| 1922199322 | Laurie-len V Magnaye-mcclendon | Nurse Practitioner | 1234 Empire Street, Fairfield, CA 94533 | 2006-09-28 |
| 1336177468 | Brenda Sue Halls | Nurse Practitioner | 2000b S Main St, Fairfield, IA 52556-9572 | 2006-06-29 |
| 1407892839 | Mary Rush | Nurse Practitioner | 130 Pheasant Ln, Fairfield, CT 06824-3141 | 2006-06-22 |
| 1861004533 | Rokzanne Dosier | Nurse Practitioner | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2020-08-23 |
| 1992326060 | Han Ni Kaililah Tran | Nurse Practitioner | 4820 Business Center Dr, Fairfield, CA 94534-1696 | 2020-04-30 |
| 1760022560 | Tamara Tincher | Nurse Practitioner | 1213 Nilles Rd, Fairfield, OH 45014-2911 | 2020-01-09 |
| 1669026126 | Jacqueline Andrea Gordon-hopwood | Nurse Practitioner | 52 Beach Road, Fairfield, CT 06824 | 2019-08-01 |
| 1528622644 | Allison Frost | Nurse Practitioner | 209 Nw 11th St, Fairfield, IL 62837 | 2019-04-24 |
| Find all providers in FAIRFIELD | ||||
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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.