LACY KOWALSKI (NPI# 1780051383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780051383 |
Entity Type | Individual |
Full Name | LACY KOWALSKI |
Credential | CNP |
Practice Address |
4110 Warrensville Center Rd Warrensville Heights OH 44122-7024 |
Mailing Address |
Po Box 74647 Cleveland OH 44194-4647 |
Practice Telephone | 2164906000 |
Mailing Telephone | 4408790081 |
Mailing Fax Number | 4408790084 |
Enumeration Date | 2015-08-31 |
Last Update Date | 2015-08-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP-17605 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4110 WARRENSVILLE CENTER RD |
City | WARRENSVILLE HEIGHTS |
State | OH |
Zip Code | 44122-7024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093717548 | Kerry Sullivan | Radiology | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2005-08-15 |
1013391432 | Rajesh Agarwal, LLC | Clinic/Center | 4110 Warrensville Center Rd, Suite 300, Warrensville Heights, OH 44122-7024 | 2015-07-15 |
1679984660 | Michelle Rae Bogomolny | Physical Therapist | 4110 Warrensville Center Rd, Building A/driveway 1, Warrensville Heights, OH 44122-7024 | 2014-05-13 |
1689709628 | Geraldine Sparks | Nurse Anesthetist, Certified Registered | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2007-02-22 |
1235183542 | Cleveland Clinic Health System - East Region | General Acute Care Hospital | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2006-05-20 |
1639171184 | Jeffrey Kleinman | Radiology | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2005-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
Find all providers in zip 44122 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568947455 | Kristina Musan | Nurse Practitioner | 26310 Emery Rd, Warrensville Heights, OH 44128-5735 | 2018-09-26 |
1841652690 | Joanne Hollins | Nurse Practitioner | 20050 Harvard Ave, Warrensville Heights, OH 44122-6816 | 2016-03-22 |
1134503592 | Nathaniel Dore | Nurse Practitioner | 20050 Harvard Ave, Suite 300, Warrensville Heights, OH 44122-6816 | 2015-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
Find all providers with the same taxonomy |
City | WARRENSVILLE HEIGHTS |
Zip Code | 44122 |
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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.