Individual provider Active NPI

Brenda Joyce Hardyman, LPN

  • Licensed Practical Nurse
  • Sardinia, OH
National Provider Identifier
1003083825
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
113891 Issued in OH
Practice address
8803 Five Points Fincastle Rd
Sardinia, OH 45171-8353
Phone
(937) 515-9716
NPI assigned
May 12, 2008
Last updated
Apr 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 113891 OH Primary

Addresses

Primary practice location

8803 Five Points Fincastle Rd
Sardinia, OH 45171-8353

Mailing address

8803 Five Points Fincastle Rd
Sardinia, OH 45171-8353
Phone (937) 515-9716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113891OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1003083825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 FIVE POINTS FINCASTLE RD",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451718353",
            "telephone_number": "937-515-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 FIVE POINTS FINCASTLE RD",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451718353",
            "telephone_number": "937-515-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDYMAN",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "113891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sardinia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.