RAVEN PHELPS (NPI# 1750749685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750749685 |
| Entity Type | Individual |
| Full Name | RAVEN PHELPS |
| Practice Address |
180 S Thayer Rd Lima OH 45806-9235 |
| Practice Telephone | 7402625984 |
| Mailing Telephone | 7402625984 |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2016-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
180 S THAYER RD |
| City | LIMA |
| State | OH |
| Zip Code | 45806-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437712841 | Otterbein Cridersville | Assisted Living Facility | Otterbein Cridersville, 100 Red Oak, Cridersville, OH 45806 | 2019-04-22 |
| 1437528882 | Teaira Foster | Specialist/Technologist | 690 E Hume Rd, Lima, OH 45806 | 2015-09-16 |
| 1689091795 | Casandra Gossard | Physical Therapy Assistant | 19670 Graham Rd, Cridersville, OH 45806 | 2014-03-26 |
| 1053662270 | Paragon Rehabilitation | Skilled Nursing Facility | 3518 Camden Place, Lima, OH 45806 | 2012-09-27 |
| 1407148869 | Joshua Andrews | Counselor | 2963 Blue Jacket Ct Ste B, Lima, OH 45806 | 2011-05-04 |
| 1578745568 | The Endoscopy Center of West Central Ohio, LLC | Nurse Anesthetist, Certified Registered | 2793 Shawnee Road, Lima, OH 45806 | 2007-11-30 |
| 1639280878 | Tyra Louise Meyer | Dentist | 2969 Blue Jacket Court, Lima, OH 45806 | 2006-08-31 |
| 1912153875 | John C Manuel | Nurse Anesthetist, Certified Registered | 2793 Shawnee Rd, Lima, OH 45806 | 2008-08-12 |
| 1073604930 | Andrea Renee Leopold Brinkman | Dentist | 2969 Blue Jacket Court, Lima, OH 45806 | 2006-09-27 |
| 1649372889 | Schwietermans Village | Pharmacy | 200 W Main St, Cridersville, OH 45806 | 2006-09-01 |
| Find all providers in zip 45806 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856363 | Ryan Laidlaw | Student in an Organized Health Care Education/Training Program | 1639 Chandler Dr, Lima, OH 45805-1346 | 2019-02-08 |
| 1568810224 | Wesley Eugene Chan | Student in an Organized Health Care Education/Training Program | 1702 Allentown Road, Lima, OH 45805 | 2016-06-02 |
| 1588283006 | Adnan Ejupovic | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-14 |
| 1932728490 | John Paul Sevcik | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-14 |
| 1396374575 | Jarred Jones | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1164051355 | Lisa Mary Tran | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1922637479 | Vitaliy Kovalevych | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-06 |
| 1477182004 | Kelly Kathleen Loman | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-06 |
| 1093344111 | Amy Michelle Yuhas | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-02 |
| 1922636067 | Connor Mckenzie Rohrback | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-01 |
| Find all providers in LIMA | ||||
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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.