Malinda Winters, CFNP
Individual provider Active NPI Family Nurse Practitioner · Mantua, OH
NPI 1699987396 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699987396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 08672 (OH)
- Practice address
- 9772 Diagonal Rd
Mantua, OH 44255-9128 - Phone
- (330) 274-2272
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240515002892 | MS | Practitioner - Nurse Practitioner | 0244671766 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08672 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current |
Accepting new patients | |
| Choctaw Regional Medical Center | Current |
Accepting new patients | |
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| Choctaw Regional Medical Center | Current |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
14724 Highway 15 N
Louisville, MS 39339
Phone (662) 773-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 08672 | OH | Yes |
Addresses
Primary practice location
9772 Diagonal Rd
Mantua, OH 44255-9128
Mailing address
26150 Briardale Ave
Euclid, OH 44132-2310
Phone (330) 274-2272
Other providers in Mantua, OH
- Kaitlyn Warakomski
- Steven R Wiggers
- Anne M Williams
- Peter Paul Williams
- Cynthia Lee Winiarski
- Natalie Wolf
- Larry Workman
All providers in Mantua, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.