Individual provider Active NPI

Dena Magwood

  • Licensed Practical Nurse
  • Cleveland, OH
National Provider Identifier
1053173211
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
179891 Issued in OH
Practice address
1203 Haselton Rd
Cleveland, OH 44121-1500
Phone
(216) 258-6809
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 179891 OH Primary

Addresses

Primary practice location

1203 Haselton Rd
Cleveland, OH 44121-1500

Mailing address

24020 Hermitage Rd
Shaker Heights, OH 44122-4010
Phone (216) 258-6809

Other practice location 1

24020 Hermitage Rd
Shaker Heights, OH 44122-4010
Phone (216) 258-6809

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

LicenseStateTypeSpecialty
179891OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1053173211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24020 HERMITAGE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224010",
            "telephone_number": "216-258-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 HASELTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441211500",
            "telephone_number": "216-258-6809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24020 Hermitage Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441224010",
            "country_code": "US",
            "telephone_number": "216-258-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGWOOD",
        "first_name": "DENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "179891",
            "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 Jan 24, 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.