Active NPI
Karen Millette Ivey, RN
- Registered Nurse
- Cleveland, OH
National Provider Identifier
1003949900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN261173
- Practice address
- 1049 East 169TH Street
Cleveland, OH 44110 - Phone
- (216) 956-0082
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN261173 | OH | Primary |
Addresses
Primary practice location
1049 East 169TH Street
Cleveland, OH 44110
Mailing address
3717 Edgehill Drive
Cleveland, OH 44121-1972
Phone (216) 297-9394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167677 | Other | OH | OHIO PROVIDER IDENTIFIER |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN261173 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003949900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 EDGEHILL DRIVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441211972",
"telephone_number": "216-297-9394",
"fax_number": "216-297-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 EAST 169TH STREET",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44110",
"telephone_number": "216-956-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "KAREN",
"middle_name": "MILLETTE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN261173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PROVIDER IDENTIFIER",
"identifier": "2167677",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.