Individual provider Active NPI

Temeca Mason-Drankard

  • Licensed Practical Nurse
  • Twinsburg, OH
National Provider Identifier
1093052847
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
128625-M-IV Issued in OH
Practice address
10036 Ridgewood Dr
Twinsburg, OH 44087-1164
Phone
(216) 298-3029
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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 128625-M-IV OH Primary

Addresses

Primary practice location

10036 Ridgewood Dr
Twinsburg, OH 44087-1164

Mailing address

PO Box 243
Twinsburg, OH 44087-0243

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
128625-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1093052847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440870243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10036 RIDGEWOOD DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871164",
            "telephone_number": "216-298-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON-DRANKARD",
        "first_name": "TEMECA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "128625-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.