ANGELIA M MICKLE (NPI# 1790117141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790117141 |
| Entity Type | Individual |
| Full Name | ANGELIA M MICKLE |
| Other Name | ANGELIA M MAINS |
| Credential | FNP |
| Practice Address |
4940 Cottonville Rd Ste 100 Jamestown OH 45335 |
| Mailing Address |
4940 Cottonville Rd Ste 100 Jamestown OH 45335-1522 |
| Practice Telephone | 9376756830 |
| Practice Fax Number | 9376756835 |
| Mailing Telephone | 9376756830 |
| Mailing Fax Number | 9376756835 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.14976-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.14976 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0095517 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 474 N Yellow Springs St, Springfield, OH 455042463 | 9373999500 | 9373424242 |
| Street Address |
4940 COTTONVILLE RD STE 100 |
| City | JAMESTOWN |
| State | OH |
| Zip Code | 45335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1609426907 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 4940 Cottonville Rd, Jamestown, OH 45335-1522 | 2019-09-18 |
| 1487074183 | Greeneview Pharmacy LLC | Pharmacy | 4940 Cottonville Rd, Jamestown, OH 45335-1522 | 2014-04-21 |
| 1669737250 | Brian Scott Jenks | Family Medicine | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2012-07-10 |
| 1750676672 | James Halderman | Family Medicine | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2011-06-20 |
| 1508174350 | Ihs Pharmacy & Wellness Center | Pharmacy | 4940 Cottonville Rd, Jamestown, OH 45335-1522 | 2010-09-15 |
| 1538495759 | Digestive Specialists, Inc. | Internal Medicine | 4940 Cottonville Rd, Jamestown, OH 45335-1522 | 2009-10-22 |
| 1336372796 | Far Oaks Orthopedists, Inc | Orthopaedic Surgery | 4940 Cottonville Rd, Jamestown, OH 45335-1522 | 2009-09-01 |
| 1982657318 | Mvhe Inc | Family Medicine | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999516 | Ct Ohio Jamestown LLC | Skilled Nursing Facility | 4960 Old Us 35, Jamestown, OH 45335 | 2018-04-19 |
| 1073027264 | Rhoda Joy Chamberlain | Nurse Practitioner | 4940 Cottonville Rd Ste 100, Jamestown, OH 45335 | 2017-11-27 |
| 1699080184 | Joyce Elaine-blackmer Hull | Registered Nurse | 3879 Shawnee Trl, Jamestown, OH 45335-1156 | 2010-08-10 |
| 1801267836 | Karen Reichley | Speech-Language Pathologist | 3995 Navajo Trl, Jamestown, OH 45335-1325 | 2015-10-16 |
| 1336626225 | Danielle Brooks | Dietitian, Registered | 4389 Choctaw Trl, Jamestown, OH 45335-1401 | 2018-07-24 |
| 1285779306 | Supertown Drugs | Pharmacy | 6 N Limestone St, Jamestown, OH 45335-1504 | 2007-02-20 |
| 1114342185 | Angelique Renee Swank | Licensed Practical Nurse | 4646 Cottonville Rd, Jamestown, OH 45335-1516 | 2014-02-26 |
| 1326066713 | Denise R Kennedy | Family Medicine | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2006-07-17 |
| 1386281574 | Greene Memorial Hospital, Inc. | Clinic/Center | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2019-12-06 |
| 1518524065 | Angela Renee' Paugh | Nurse Practitioner | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2019-05-21 |
| Find all providers in zip 45335 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997175 | Micah Sellew | Nurse Practitioner | 321 E Central Ave, Jamestown, TN 38556-4103 | 2019-02-05 |
| 1487148466 | Heather Sue Mendell | Nurse Practitioner | 2111 Buffalo Street Ext, Jamestown, NY 14701-9259 | 2018-06-21 |
| 1831620152 | Elizabeth Gattman | Nurse Practitioner | 36 Vinnie St, Jamestown, NY 14701-7327 | 2017-03-27 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1295072536 | Christopher Davis | Nurse Practitioner | 221 Gaskin Road, Jamestown, KY 42629-0000 | 2013-01-07 |
| 1578812087 | Jamestown Family Care Clinic, LLC | Nurse Practitioner | 1010 Old Highway 127 South, Jamestown, TN 38556-0068 | 2012-08-30 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1720302185 | Laquita Lynne Sandman | Nurse Practitioner | 100 Duncan Street, Jamestown, TN 38556-0098 | 2010-03-15 |
| 1033350152 | Jocelyn Rebeccah Chermak | Nurse Practitioner | 418b Central Ave W, Jamestown, TN 38556-3031 | 2009-03-19 |
| 1740445519 | Lisa A Walter | Nurse Practitioner | 117 Foote Avenue, Suite 100, Jamestown, NY 14701 | 2008-07-22 |
| Find all providers in JAMESTOWN | ||||
Please comment or provide details below to improve the information on ANGELIA M MICKLE.
| 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.