Mistie Rine, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.163693.MEDS-IV Issued in OH

Practice address

308 Martinsburg Rd
Mount Vernon, OH 43050-4225

Phone

(740) 393-2933

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1043866890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S ROGERS ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503643",
            "telephone_number": "740-398-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MARTINSBURG RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430504225",
            "telephone_number": "740-393-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINE",
        "first_name": "MISTIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.163693.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jonnette Riley, LMT
• Darcy Riley
• Krystal Louise Rine-Mitchell, STNA
• Carla Maria Rine
• Macie Rine
• Nicole Rine, LPN
• Jacob Rings, LAT
• James Howard Risko, M.D.
• Kaylyn R Rittenhouse, MA, LICDC
• Riverside Recovery Services LLC

• Licensed Practical Nurse in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.