Active NPI
Maryjo Prince-Paul, APRN PHD
- Hospice Registered Nurse
- Cleveland, OH
National Provider Identifier
1043420342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- RN231816
- Practice address
- 300 E 185TH St
Cleveland, OH 44119-1330 - Phone
- (216) 486-6183
- NPI assigned
- May 23, 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 |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | RN231816 | OH | Primary |
Addresses
Primary practice location
300 E 185TH St
Cleveland, OH 44119-1330
Mailing address
300 E 185TH St
Cleveland, OH 44119-1330
Phone (216) 486-6183
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN231816 | OH | MD | Hospice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of the Western Reserve, Inc. | Past | Accepting new patients | |
| Hospice of the Western Reserve, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Hospice and Palliative Medicine Physician
- Cleveland, OH
- NPI 1255333753
-
- Clinical Nurse Specialist
- Cleveland, OH
- NPI 1811163009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043420342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 185TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441191330",
"telephone_number": "216-486-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 185TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441191330",
"telephone_number": "216-486-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE-PAUL",
"first_name": "MARYJO",
"credential": "APRN PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "OH",
"license": "RN231816",
"primary": true
}
],
"identifiers": [],
"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.