CAROL BLANKEMEYER DEWALD (NPI# 1891793220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891793220 |
| Entity Type | Individual |
| Full Name | CAROL BLANKEMEYER DEWALD |
| Credential | MSN |
| Practice Address |
4075 Old Western Row Rd Mason OH 45040-3104 |
| Practice Telephone | 5135360602 |
| Mailing Telephone | 5135360602 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2008-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN202899 | OH | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
NS-01520 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2399622 | 05 |
| Street Address |
4075 OLD WESTERN ROW RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171346 | Kimberly Spivey | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2020-07-08 |
| 1154989663 | Jessica Lynn Kraft | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2019-05-30 |
| 1447816905 | Allison Mecca | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2019-05-10 |
| 1407353618 | Erin Catherine Snider | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040 | 2018-04-12 |
| 1356849384 | Stephanie Paige Kisling | Case Manager/Care Coordinator | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2018-01-24 |
| 1982127122 | Danielle Beltz | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-07-19 |
| 1023539517 | Anna Ward | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-07-05 |
| 1912433574 | Jennifer Milau | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-05-02 |
| 1215476767 | Jennifer B Wilcox | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-02-16 |
| 1326490285 | Megan Schrantz | Counselor | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2016-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
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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.