BENJAMIN DAVID LIST (NPI# 1780924746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780924746 |
| Entity Type | Individual |
| Full Name | BENJAMIN DAVID LIST |
| Credential | PMHNP-BC |
| Practice Address |
1501 Madison Rd. Cincinnati OH 45206-2223 |
| Practice Telephone | 5133545200 |
| Mailing Telephone | 5133545200 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.019455 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28200219A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CERTIFICATE TO PRESCRIBE | CTP.019994 | 01 |
| IN | DEA | ML2863430 | 01 |
| IN | CSR-PRESCRIPTIVE AUTHORITY | 71004343B | 01 |
| IN | APN PRESCRIPTIVE AUTHORITY | 71004343A | 01 |
| OH | DEA | ML4020183 | 01 |
| OH | CERTIFIED NURSE PRACTITIONER | APRN.CNP.019455 | 01 |
| Street Address |
1501 MADISON RD. |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45206-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730686478 | Teresa Marie Truesdell | Counselor | 3605 Woodburn Ave, Cincinnati, OH 45206 | 2018-04-10 |
| 1881137172 | Chase Mauger | Counselor | 2700 Victory Parkway, Cincinnati, OH 45206 | 2016-11-18 |
| 1316492390 | The Young Men's Christian Association of Greater Cincinnati | Health Educator | 2840 Melrose Avenue, Cincinnati, OH 45206 | 2016-08-19 |
| 1326591231 | Valante Jackson | Counselor | 2638 Victory Pkwy, Cincinnati, OH 45206 | 2016-07-27 |
| 1245637099 | Charles Workman | Social Worker | 2600 Victory Parkway, Cincinnati, OH 45206 | 2014-11-21 |
| 1154727642 | Lauren Schrand | Social Worker | 2651 Observatory Ave., Cincinnati, OH 45206 | 2014-11-10 |
| 1619387487 | Jeanne Romell | Occupational Therapy Assistant | 1520 Madison Road, Cincinnati, OH 45206 | 2014-05-02 |
| 1821347923 | Geoffrey L Raine | Counselor | 1501 Madison Road, Cincinnati, OH 45206 | 2012-09-05 |
| 1215207766 | Consultants of Mind Matters, Inc | Counselor | 2200 Victory Parkway, Suite 602, Cincinnati, OH 45206 | 2011-12-30 |
| 1851671093 | Patricia Lynn Zureick | Counselor | 2330 Victory Parkway Ave, Mercy Professional Services Suite 500, Cincinnati, OH 45206 | 2011-08-19 |
| Find all providers in zip 45206 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1528670346 | Mental Health Healing | Nurse Practitioner | 2020 Anderson Ferry Rd, Cincinnati, OH 45238-3371 | 2020-08-21 |
| 1033744677 | Melanie Anabel Grynsztejn-lampl | Nurse Practitioner | 11410 Terwilligers Valley Ln, Cincinnati, OH 45249-2759 | 2020-03-04 |
| 1497136394 | Robert Frey | Nurse Practitioner | 2233 Wheeler St, Cincinnati, OH 45219-1219 | 2015-06-16 |
| 1154744290 | Misty Marea Richmond | Nurse Practitioner | 6757 Tarawa Dr, Cincinnati, OH 45224-1152 | 2014-01-24 |
| 1245488089 | Sharen E Cooper | Nurse Practitioner | 125 William Howard Taft Rd, Cincinnati, OH 45219-2103 | 2008-09-05 |
| 1336177856 | Jasmine Noeline Shafto | Nurse Practitioner | 5400 Edalbert Dr., Cincinnati, KY 45239-7695 | 2006-06-30 |
| 1649882200 | Kadori Ngirabakunzi | Nurse Practitioner | 532 Maxwell Ave, Cincinnati, OH 45219-2408 | 2020-08-17 |
| 1760093512 | Vivian Phu | Nurse Practitioner | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2020-08-14 |
| 1538791983 | Shantel Zwissler | Nurse Practitioner | 5400 Edalbert Drive, Cincinnati, OH 45239-7695 | 2020-02-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45206 |
Please comment or provide details below to improve the information on BENJAMIN DAVID LIST.
| 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.