Individual provider Active NPI

Carrie Lorraine Vanatta, LPN

  • Registered Nurse
  • Coshocton, OH
National Provider Identifier
1003245309
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
436161 Issued in OH
Practice address
46685 Township Road 74
Coshocton, OH 43812-8914
Phone
(740) 294-4912
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 144253 OH
Registered Nurse 163W00000X 436161 OH Primary

Addresses

Primary practice location

46685 Township Road 74
Coshocton, OH 43812-8914

Mailing address

46685 Township Road 74
Coshocton, OH 43812-8914
Phone (740) 294-4912

Other names 1

  • Mrs. Carrie Lorraine Gough Former name

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
436161OHMDRegistered Nurse
144253OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1003245309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46685 TOWNSHIP ROAD 74",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438128914",
            "telephone_number": "740-294-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46685 TOWNSHIP ROAD 74",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438128914",
            "telephone_number": "740-294-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANATTA",
        "first_name": "CARRIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "144253",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "436161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "GOUGH",
            "middle_name": "LORRAINE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.