MELLIE J MACK (NPI# 1780981084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780981084 |
| Entity Type | Individual |
| Full Name | MELLIE J MACK |
| Credential | LPN |
| Practice Address |
2126 Oakdale Dr Marion OH 43302-8905 |
| Practice Telephone | 7407515744 |
| Mailing Telephone | 7407515744 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.134165-M-IV | OH | Nursing Service Providers |
| Street Address |
2126 OAKDALE DR |
| City | MARION |
| State | OH |
| Zip Code | 43302-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306493390 | Mary (niki) Williams | Licensed Practical Nurse | 133 E Center St, Marion, OH 43302-3801 | 2019-08-23 |
| 1033774690 | Deedee Wilfong | Licensed Practical Nurse | 708 E Bradford St, Marion, IN 46952-2959 | 2019-05-08 |
| 1033688692 | Megan Marie Dowdy | Licensed Practical Nurse | 520 Oak St, Marion, OH 43302-2207 | 2018-11-13 |
| 1295215374 | Andrew Vernon Easton II | Licensed Practical Nurse | 1143 Midway Ct Apt D, Marion, IL 62959-1591 | 2018-08-17 |
| 1114404100 | Brittni Horn | Licensed Practical Nurse | 1390 Bellefontaine Ave, Marion, OH 43302-7049 | 2018-07-23 |
| 1902325053 | Kimberly Throckmorton | Licensed Practical Nurse | 204 Bain Ave, Marion, OH 43302-4014 | 2017-09-10 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1124550314 | Carrie Kindred | Licensed Practical Nurse | 3114 Burris Dr, Marion, OH 43302-8608 | 2017-03-28 |
| Find all providers in MARION | ||||
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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.