DEIDRA CAROLINA MOMEYER (NPI# 1982231775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982231775 |
| Entity Type | Individual |
| Full Name | DEIDRA CAROLINA MOMEYER |
| Practice Address |
335 Glessner Ave Mansfield OH 44903-2269 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 4195222833 |
| Practice Fax Number | 4195202703 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
PENDING | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
335 GLESSNER AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203153 | Jose Joaquin Norberto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2005-05-23 |
| 1902404643 | Brian George | Pharmacist | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-10-14 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1780298422 | Garrett Brendan Stough | Nurse Anesthetist, Certified Registered | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1629696802 | Medcentral Health System | Pharmacy | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-07-14 |
| 1144857772 | Fabiana Patino | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-03-24 |
| 1144868910 | Amanda Marie Mcmullen | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-12-12 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1891347258 | Kassandra Lee Robinson | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-07-15 |
| 1366004954 | Kelsey Nicole Wehr | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598200941 | Michelle Renee Barnes | Nurse Practitioner | 207 Autumnwood Dr, Mansfield, TX 76063-8647 | 2016-12-21 |
| 1891347258 | Kassandra Lee Robinson | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-07-15 |
| 1356812796 | Laura Pond | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-12-11 |
| 1417424789 | Jessica Lynn Armstrong | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-10-25 |
| 1407303423 | Jennifer L. Brown | Nurse Practitioner | 335 Glessner Ave, Mid-state Physicians, Mansfield, OH 44903-2269 | 2016-09-07 |
| 1356749048 | Rachael Wheeler | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2014-12-11 |
| 1891192720 | Jennifer Grimes | Nurse Practitioner | 851 Highway 287 N, Mansfield, TX 76063-2664 | 2014-11-20 |
| 1184053100 | Tammy Canfield | Nurse Practitioner | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2013-11-12 |
| 1497010086 | Jenny L Mckee | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
| 1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1518565837 | Kristen Michelle Swartz | Nurse Practitioner | 1661 Holland Rd Ste 200, Maumee, OH 43537-1659 | 2020-10-09 |
| 1205443454 | Natalie Gayle Brosz | Nurse Practitioner | 1118 Black Horse Run, Loveland, OH 45140-9019 | 2020-09-30 |
| 1982211595 | Jessica Lynne Barnett | Nurse Practitioner | 6632 Echo Ln, Cincinnati, OH 45230-1414 | 2020-09-28 |
| 1538776513 | Krista Ann Korey | Nurse Practitioner | 763 Colbert Cir, Cincinnati, OH 45240-3617 | 2020-09-24 |
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1215543582 | Eliezar Agaran | Nurse Practitioner | 4488 Aspen Dr, Liberty Twp, OH 45011-5210 | 2020-09-21 |
| 1609482058 | Noel Boyd | Nurse Practitioner | 7421 Dog Trot Rd, Cincinnati, OH 45248-1309 | 2020-09-21 |
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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.