TOBY BOURISSEAU (NPI# 1790807006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790807006 |
| Entity Type | Individual |
| Full Name | TOBY BOURISSEAU |
| Credential | CNS |
| Practice Address |
10524 Euclid Ave Ste 1155a Cleveland OH 44106-2205 |
| Practice Telephone | 2168443881 |
| Mailing Telephone | 2168443881 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
08218 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10524 EUCLID AVE STE 1155A |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205178159 | Stephanie Barnes-mercado | Pediatrics | 10524 Euclid Ave Ste 1155a, Cleveland, OH 44106-2205 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619249000 | John J Adamo | Clinical Nurse Specialist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518388644 | Nanci J Morris Rn Msn LLC | Clinical Nurse Specialist | 151 Mill St, # 104, Gahanna, OH 43230-1715 | 2013-12-16 |
| 1154578383 | Laura Jane Abels | Clinical Nurse Specialist | 150 N Miller Rd Ste 450a, Fairlawn, OH 44333-3773 | 2008-08-19 |
| 1285704601 | Trena Jill Goodwin | Clinical Nurse Specialist | 10200 Alliance Rd, Suite 150, Blue Ash, OH 45242-4753 | 2006-11-09 |
| 1598775306 | Charlotte Hannah | Clinical Nurse Specialist | 3095 Ketttering Blvd, Dayton, OH 45439 | 2006-08-08 |
| 1053741702 | Stephanie Noel Eggert | Clinical Nurse Specialist | 5642 Hamilton Ave, Cincinnati, OH 45224-3114 | 2013-11-16 |
| 1740628536 | Melissa Weisbrodt | Clinical Nurse Specialist | 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229-3026 | 2013-06-13 |
| 1265777460 | Kristina Fisher | Clinical Nurse Specialist | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2012-11-29 |
| 1306140785 | T B F Inc | Clinical Nurse Specialist | 6480 Crooked Elm Ct, Delaware, OH 43015-8462 | 2010-12-29 |
| 1831405828 | Patricia Cardona | Clinical Nurse Specialist | 901 Washington St, Portsmouth, OH 45662-3944 | 2010-08-27 |
| 1992950414 | Jacsun Jaims Kellogg | Clinical Nurse Specialist | 388 S Main St, Akron, OH 44311-1064 | 2008-11-25 |
| Find all providers with the same taxonomy | ||||
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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.