Dunamis Auxano LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11616 Issued in OH

Legal business name

DUNAMIS AUXANO LLC

Doing business as

Family Health and Healing Clinic

Practice address

121 W Main St
Loudonville, OH 44842-1247

Phone

(419) 994-0212

Fax

(419) 994-0215

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniele P Marsh, NP

Title

Certified Nurse Practitioner

Phone

(419) 994-0212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Health and Healing Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1548690233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448421247",
            "telephone_number": "419-994-0212",
            "fax_number": "419-994-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448421247",
            "telephone_number": "419-994-0212",
            "fax_number": "419-994-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAMIS AUXANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CERTIFIED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "419-994-0212",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091238",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health and Healing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colonial Manor
• Colonial Manor Health Care Center, Inc.
• Teresa T Cooperrider, O.D.
• Tina Marie Cooperrider, L. AC.
• Cheri E Cosgrove
• Dunamis Auxano LLC (Family Health and Healing Clinic)
• Exceptional Home Care, LLC
• Exceptional1 Home Care, LLC
• Kate Fike
• Cashayla Forsthoefel, LPN

• Family Nurse Practitioner in Loudonville, OH
• Providers in Loudonville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.