CARLI A CARNISH (NPI# 1871910406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871910406 |
Entity Type | Individual |
Full Name | CARLI A CARNISH |
Credential | NP-C |
Practice Address |
5301 E Heisley Rd Mentor OH 44060-1743 |
Mailing Address |
9485 Mentor Ave 210 Mentor OH 44060-8723 |
Practice Telephone | 4403929550 |
Mailing Telephone | 4402055835 |
Mailing Fax Number | 4402055744 |
Enumeration Date | 2014-03-20 |
Last Update Date | 2015-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.15729-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0106333 | 05 |
Street Address |
5301 E HEISLEY RD |
City | MENTOR |
State | OH |
Zip Code | 44060-1743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811951262 | Anne E Fisher | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060 | 2006-04-13 |
1831516335 | Heather Walker | Registered Nurse | 5301 E Heisley Rd, Mentor, OH 44060-1743 | 2014-03-21 |
1639328222 | Sherry Lynn Stewart | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060 | 2008-09-18 |
1790964997 | Sharon Stockwell | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060 | 2007-10-24 |
1225224132 | Primary Nurse Practitioner Inc | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060 | 2007-09-25 |
1124045919 | Michele Marie Pirc | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
Find all providers in zip 44060 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619389277 | Audrey Ann Miller | Nurse Practitioner | 7487 Button Rd, Mentor, OH 44060-6734 | 2014-05-29 |
1326349788 | Stephanie Gale Winterer | Nurse Practitioner | 8300 Tyler Blvd Ste 300, Mentor, OH 44060-4251 | 2010-11-16 |
1518921949 | Heidi Hazelton Morrison | Nurse Practitioner | 6580 Newhouse Ct, Mentor, OH 44060-4150 | 2006-04-13 |
1811951262 | Anne E Fisher | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060 | 2006-04-13 |
1649812405 | Nicole E Petgrave | Nurse Practitioner | 8200 Mentor Hills Dr, Mentor, OH 44060-7861 | 2019-10-14 |
1942842844 | Megan Staff | Nurse Practitioner | 8587 East Ave, Mentor, OH 44060-4301 | 2019-10-11 |
1407256696 | Meghan Lou Ilg | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2014-08-26 |
1154769925 | Jasmine Johnson | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2013-06-13 |
1699113373 | Debbie Dubeansky | Nurse Practitioner | 9485 Mentor Ave Ste 3, Mentor, OH 44060-8711 | 2013-06-04 |
1851736946 | Lindsay-dawn Hanlon Cooper | Nurse Practitioner | 9485 Mentor Ave, Suite 210, Mentor, OH 44060-4597 | 2013-05-03 |
Find all providers in MENTOR |
Please comment or provide details below to improve the information on CARLI A CARNISH.
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.