MISS MARJORIE YVONNE DERKSEN (NPI# 1881824852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881824852 |
| Entity Type | Individual |
| Full Name | MISS MARJORIE YVONNE DERKSEN |
| Credential | RN,CNS |
| Practice Address |
3080 Ackerman Blvd., #100 Dayton Chest Medicine Kettering OH 45429 |
| Practice Telephone | 9373961605 |
| Practice Fax Number | 9373961607 |
| Mailing Telephone | 9373961605 |
| Mailing Fax Number | 9373961607 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 03233-NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3080 ACKERMAN BLVD., #100 DAYTON CHEST MEDICINE |
| City | KETTERING |
| State | OH |
| Zip Code | 45429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184971368 | Suzanne Marie Brooks | Clinical Nurse Specialist | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2012-08-07 |
| 1861686073 | Patrick A Kuss | Clinical Nurse Specialist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410030 | Julie Simon | Clinical Nurse Specialist | 9500 Euclid Ave # P3-112, Cleveland, OH 44195-0001 | 2020-06-03 |
| 1033732375 | Susan Wg Batten | Clinical Nurse Specialist | 5946 Sweetwater Ct, Toledo, OH 43614-1023 | 2020-05-21 |
| 1184261687 | Lisa Dianne Pitcairn | Clinical Nurse Specialist | 3130 N County Road 25a Rm 2005, Troy, OH 45373-1337 | 2019-12-03 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1518523125 | Elena Lozko Stock | Clinical Nurse Specialist | 581 Olentangy Woods Dr, Columbus, OH 43235-3495 | 2019-05-20 |
| 1992214787 | Laureen Gwynne Jones | Clinical Nurse Specialist | 2571 Good Hope New Holland Rd, New Holland, OH 43145-9625 | 2017-09-25 |
| 1932585650 | Krystal Washington | Clinical Nurse Specialist | 319 N Harrison St, New Madison, OH 45346-9775 | 2015-08-04 |
| 1427454115 | Angela Bonner | Clinical Nurse Specialist | 1423 Aven Dr, Columbus, OH 43227-3263 | 2014-11-07 |
| 1437553377 | Crystal L Lambing | Clinical Nurse Specialist | 970 Wyndham Dr, Boardman, OH 44512 | 2014-10-21 |
| 1801219233 | Thomas Justin Huffer | Clinical Nurse Specialist | 610 Northridge Rd., Circleville, OH 43113-0578 | 2014-01-21 |
| 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.