Active NPI
Paula K Hurt Heritage
- Registered Nurse
- Ravenna, OH
National Provider Identifier
1023641651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 161965
- Practice address
- 5118 State Route 303
Ravenna, OH 44266-9721 - Phone
- (330) 931-8993
- NPI assigned
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 161965 | OH | Primary |
Addresses
Primary practice location
5118 State Route 303
Ravenna, OH 44266-9721
Mailing address
5118 State Route 303
Ravenna, OH 44266-9721
Phone (330) 931-8993
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
| License | State | Type | Specialty |
|---|---|---|---|
| 161965 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1023641651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 STATE ROUTE 303",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442669721",
"telephone_number": "330-931-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 STATE ROUTE 303",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442669721",
"telephone_number": "330-931-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURT HERITAGE",
"first_name": "PAULA",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "161965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.