BRENDA S. WITSAMAN (NPI# 1811492424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811492424 |
| Entity Type | Individual |
| Full Name | BRENDA S. WITSAMAN |
| Credential | FNP-C |
| Practice Address |
4800 Ledgewood Dr Medina OH 44256-7666 |
| Mailing Address |
5295 Grand Canyon Dr Medina OH 44256-7171 |
| Practice Telephone | 3307239688 |
| Mailing Telephone | 3304168078 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022531 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4800 LEDGEWOOD DR |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-7666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295813327 | Karen M Fitzgerald | Nurse Practitioner | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2006-11-02 |
| 1255845632 | Charles Michael Weber | Dentist | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2017-11-21 |
| 1891074860 | Steven J Barket | Dentist | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2011-08-09 |
| 1699816884 | County of Medina Auditor | Clinic/Center | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2007-02-09 |
| 1265510317 | Lisa Anne Klatka | Preventive Medicine | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2006-11-02 |
| 1962580076 | Amber R Murray | Nurse Practitioner | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2006-11-02 |
| 1982782009 | Marguerite Ann Dimarco | Nurse Practitioner | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2006-11-02 |
| 1245319318 | T Scott Mccune | Dentist | 4800 Ledgewood Dr, Medina, OH 44256-7666 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715125 | Marzena Thompson | Nurse Practitioner | 392 Chandler Ct, Medina, OH 44256-6739 | 2020-09-22 |
| 1346898848 | Kolby Rashelle Barton | Nurse Practitioner | 537 Stringtown Rd, Medina, TX 78055-3605 | 2019-08-28 |
| 1821652645 | Travia Monique Taylor | Nurse Practitioner | 3410 Country Club Dr, Medina, OH 44256-8789 | 2019-04-26 |
| 1871064147 | Michael D Gabor Jr. | Nurse Practitioner | 1218 Chapman Ln Unit 5, Medina, OH 44256-6743 | 2018-12-16 |
| 1770084337 | Michelle Marie Marzano | Nurse Practitioner | 5281 Yellowstone Dr, Medina, OH 44256-7121 | 2018-02-27 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1821538547 | Lisa Musat | Nurse Practitioner | 1068 Oak St, Medina, OH 44256-4044 | 2017-02-28 |
| 1407391600 | Kayli Swank | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2016-12-23 |
| 1447352406 | Kristen Marie Sutherland | Nurse Practitioner | 4483 Weymouth Rd, Medina, OH 44256-8601 | 2006-09-01 |
| 1881687127 | Jill E Klotzbach | Nurse Practitioner | 11075 W Center Street Ext, Medina, NY 14103-9557 | 2005-08-23 |
| Find all providers in MEDINA | ||||
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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.