Nicholas Andrew Hisle, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

132337 Issued in OH

Practice address

4135 Dixie Hwy
Elsmere, KY 41018-1815

Phone

(833) 510-4357

NPI assigned

Aug 21, 2018

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Treatment Centers Oh-VI, LLC

  dba Covedale Treatment Services

  • Methadone Clinic
  • Cincinnati, OH
  • NPI 1043726797
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1043790827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 DIXIE HWY",
            "city": "ELSMERE",
            "state": "KY",
            "postal_code": "410181815",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5122 Glencrossing Way",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452383361",
            "country_code": "US",
            "telephone_number": "513-827-9044 x102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HISLE",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OH",
            "license": "132337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne Gattozzi Feldman
• Drew Flynn
• Tammy L Grimes, LMT
• Dhakota Hartman
• Claudia Teresa Hijduk
• Amber Marie Johnson, COTA/L
• Kenton Housing, Inc. (Emerald Trace)
• Elizabeth Ellen Kerl, COTA/L
• Joshua Curtis Kreidler Sr.
• Meghan Blaire Laux

• Licensed Vocational Nurse in Elsmere, KY
• Providers in Elsmere, KY by specialty
• Licensed Vocational Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.