MISTY MANUEL (NPI# 1811536378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811536378 |
| Entity Type | Individual |
| Full Name | MISTY MANUEL |
| Practice Address |
998 S Dorset Rd Ste 301 Troy OH 45373-4748 |
| Practice Telephone | 9373399865 |
| Mailing Telephone | 9373399865 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN.CNP.026127 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | APRN LICENSE | APRN.CNP.026127 | 01 |
| Street Address |
998 S DORSET RD STE 301 |
| City | TROY |
| State | OH |
| Zip Code | 45373-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285690024 | Timothy Drehmer | Internal Medicine | 998 S Dorset Rd Ste 301, Troy, OH 45373-4748 | 2006-04-21 |
| 1881903656 | Leelmohan Ravikumar | Family Medicine | 998 S Dorset Rd Ste 301, Troy, OH 45373-4748 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1326699844 | Jaclyn Anne Korn | Nurse Practitioner | 774 Sandalwood Dr, Troy, MI 48085-1644 | 2019-09-25 |
| 1619508991 | Olivia Christine Kramer | Nurse Practitioner | 2649 Crooks Rd, Troy, MI 48084-4714 | 2020-01-27 |
| 1962043117 | Tara Adkins | Nurse Practitioner | 3130 N County Road 25a Ste 207, Troy, OH 45373-1337 | 2019-09-30 |
| 1457842361 | Amanda Mckay | Nurse Practitioner | 1380 Coolidge Hwy, Troy, MI 48084 | 2018-05-25 |
| 1700388527 | Leah Rochelle Gale | Nurse Practitioner | 998 S Dorset Rd, Troy, OH 45373 | 2018-03-07 |
| 1548796964 | Amudha Palaiyan | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2017-05-04 |
| 1073058475 | Jordan Timothy Herbert | Nurse Practitioner | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084 | 2016-12-21 |
| 1003369307 | Melissa Baker | Nurse Practitioner | 5440 Corporate Dr, Troy, MI 48098-2646 | 2016-08-03 |
| 1962850131 | Lisa Lynn Mccloy | Nurse Practitioner | 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 | 2016-05-29 |
| Find all providers in TROY | ||||
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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.