Plumtree Inc

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

PLUMTREE INC

Practice address

4994 Nan Linn Dr
Richmond Heights, OH 44143

Phone

(440) 709-4012

Fax

(216) 674-4973

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth Aretha Chaza-Ndlovu, NP

Title

Ceo

Phone

(440) 709-4012

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1023531860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 NAN LINN DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-709-4012",
            "fax_number": "216-674-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 NAN LINN DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-709-4012",
            "fax_number": "216-674-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUMTREE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "CHAZA-NDLOVU",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ARETHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-709-4012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.