CREDO CARE HEALTH LLC (NPI# 1982078333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982078333 |
| Entity Type | Organization |
| Organization Name | CREDO CARE HEALTH LLC |
| Practice Address |
6 Big Oak Ln Milford OH 45150-1418 |
| Practice Telephone | 5138072323 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | MARY ANN KOKENGE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5138072323 |
| Authorized Official Credential | RN, MSN, APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP03210 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6 BIG OAK LN |
| City | MILFORD |
| State | OH |
| Zip Code | 45150-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281899 | Emily Nicole Albacarys | Speech-Language Pathologist | 1099 Oh-131, Milford, OH 45150 | 2020-10-02 |
| 1306403118 | Baymark Health Services of Ohio | Clinic/Center | 749c State Route 28, Milford, OH 45150 | 2019-05-28 |
| 1881188878 | Lena M Todd | Counselor | 950 Lila Ave, Milford, OH 45150 | 2018-06-21 |
| 1457879678 | Kiley Buchanan | Specialist/Technologist | 1280 Eagle Ridge Road, Milford, OH 45150 | 2017-09-07 |
| 1144746488 | Amy Jo Pruitt | Speech-Language Pathologist | 7247 Zoar Road, Maineville, OH 45150 | 2017-08-18 |
| 1669911285 | Derek Jordan | Counselor | 25 Whitney Drive, Suite 122, Milford, OH 45150 | 2017-02-15 |
| 1073057998 | Tina Chioua | Home Health Aide | 1189 Mellie Ln, Milford, OH 45150 | 2016-12-12 |
| 1902258015 | Megan Fisher | Optometrist | 1064 State Route 26 Suite B, Milford, OH 45150 | 2016-07-13 |
| 1669826509 | Justin Kyle Short | Counselor | 50 West Techne Dr. Suite B-5, Milford, OH 45150 | 2016-04-18 |
| 1659794592 | Soodabeh Zia-ebrahmi | Pharmacist | 1082 Sr 28, Meijer Pharmacy, Milford, OH 45150 | 2014-01-29 |
| Find all providers in zip 45150 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267213 | Joel Furnanz | Nurse Practitioner | 7 Franklin St, Milford, NH 03055-3705 | 2019-10-22 |
| 1922592732 | Sherry Lucke | Nurse Practitioner | 26 Milford Hunt Ln, Milford, CT 06461 | 2018-06-15 |
| 1356858013 | Ifiok Nsima Usen | Nurse Practitioner | 2792 Tall Timbers Dr, Milford, MI 48380-3844 | 2018-01-03 |
| 1528239118 | Teresa Lynn Matthews | Nurse Practitioner | 107 Russell Dr, Milford, DE 19963-1353 | 2008-03-21 |
| 1114197167 | Mary Jo Oldford | Nurse Practitioner | 4181 Windmill Farms, Milford, MI 48380-4279 | 2008-03-06 |
| 1891855391 | Lynn E Morriseau | Nurse Practitioner | 211 West St Ste 400, Milford, MA 01757 | 2006-12-12 |
| 1821189234 | Karen L. Smail | Nurse Practitioner | Nemours Pediatrics Milford, 703 N. Dupont Highway, Milford, DE 19963-1003 | 2006-09-28 |
| 1558350470 | Barmeta Smith | Nurse Practitioner | 201 W Liberty Way, Milford, DE 19963-5399 | 2005-10-14 |
| 1982239521 | Jessica N Odotei | Nurse Practitioner | 14 Prospect St, Milford, MA 01757-3003 | 2020-03-04 |
| 1013541986 | Kaitlyn Oaks | Nurse Practitioner | 703 N Dupont Blvd, Milford, DE 19963-1003 | 2020-02-28 |
| Find all providers in MILFORD | ||||
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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.