MICHELLE RENAE DENNIS (NPI# 1922582469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922582469 |
| Entity Type | Individual |
| Full Name | MICHELLE RENAE DENNIS |
| Practice Address |
418 Colegate Dr Marietta OH 45750-9549 |
| Practice Telephone | 7403748730 |
| Mailing Telephone | 7403748730 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974246 | Michelle L Dennis | Nurse Practitioner | 5 Martin Ct, Easton, MD 21601-3833 | 2017-07-12 |
| 1093255903 | Michelle Dennis | Pharmacist | 34 Bergendahl Dr, Griswold, CT 06351-2601 | 2017-02-27 |
| 1366486755 | Michelle Jeanine Dennis | Psychologist | 4127 Embassy Dr Se, Grand Rapids, MI 49546-2418 | 2006-06-15 |
| 1639689847 | Michelle Dennis | Physical Therapy Assistant | 3680 Dolson Ct, Carroll, OH 43112-9721 | 2017-10-03 |
| 1306392998 | Michelle Dennis | Counselor | 2605 Betty Street, Shreveport, LA 71108 | 2016-09-01 |
| 1669857785 | Michelle Angela Dennis | Behavioral Analyst | 3-3122 Kuhio Hwy, Lihue, HI 96766-1147 | 2015-07-30 |
| 1629493044 | Michelle Dennis | Psychologist | 4001 Old Salem Rd, Englewood, OH 45322-2681 | 2014-02-21 |
| 1831470566 | Michelle Diane Dennis | Reflexologist | 24 N Coo Y Yah St, Pryor, OK 74361-3820 | 2011-09-08 |
| Street Address |
418 COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154398493 | Gary Jackson Tucker Jr. | Family Medicine | 418 Colegate Dr, Marietta, OH 45750-9549 | 2006-03-07 |
| 1487254231 | Spring Idale Henry | Prevention Professional | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-10-30 |
| 1235744038 | Emilee Ann Schwendeman | Technician, Other | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-09-09 |
| 1043836059 | Kelly Annelle Workman | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-06-25 |
| 1548829864 | Kristi Jo Kirk | Counselor | 418 Colegate Dr, Marietta, OH 45750-9549 | 2019-06-11 |
| 1063970903 | Julie Amber Bates | Licensed Practical Nurse | 418 Colegate Dr, Marietta, OH 45750-9549 | 2019-03-11 |
| 1710461488 | Krishna Danae Black | Case Manager/Care Coordinator | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-09-19 |
| 1154839884 | Nicholas Barton | Counselor | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-01-16 |
| 1689199473 | Carla Archer | Case Manager/Care Coordinator | 418 Colegate Dr, Marietta, OH 45750 | 2017-08-14 |
| 1578001855 | Lacey Wilson | Licensed Practical Nurse | 418 Colegate Dr, Marietta, OH 45750-9549 | 2017-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311858 | Brandi K Beaver | Peer Specialist | 331 E Spring St, Marietta, OH 45750-2439 | 2020-06-24 |
| 1043836059 | Kelly Annelle Workman | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-06-25 |
| 1235758319 | Garrett Nunn | Peer Specialist | 27750 State Route 7, Marietta, OH 45750-5147 | 2020-04-09 |
| 1215561659 | Rodney Romey | Peer Specialist | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-02-25 |
| 1437790458 | Jovonnah Burns | Peer Specialist | 207d Colegate Dr, Marietta, OH 45750-2363 | 2019-10-01 |
| 1245704436 | Abby Roach | Peer Specialist | 207d Colegate Dr, Marietta, OH 45750-2363 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
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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.