Active NPI
Maryann Loutzenhiser
- Addiction (Substance Use Disorder) Registered Nurse
- Ashtabula, OH
National Provider Identifier
1053713248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- RN-247649
- Practice address
- 4726 Main Ave
Ashtabula, OH 44004-6929 - Phone
- (440) 992-8552
- Fax
- (440) 992-6631
- NPI assigned
- Sep 19, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN-247649 | OH | Primary |
Addresses
Primary practice location
4726 Main Ave
Ashtabula, OH 44004-6929
Mailing address
PO Box 291
2857 Winner Rd
Clark, PA 16113
Phone (724) 962-2273
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 |
|---|---|---|---|
| RN-247649 | OH | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1053713248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 291",
"address_2": "2857 WINNER RD",
"city": "CLARK",
"state": "PA",
"postal_code": "16113",
"telephone_number": "724-962-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4726 MAIN AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046929",
"telephone_number": "440-992-8552",
"fax_number": "440-992-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUTZENHISER",
"first_name": "MARYANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "RN-247649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.