Individual provider Active NPI

Mariah Jordan Big, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Avon Lake, OH
National Provider Identifier
1093629859
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0043489 Issued in OH
Practice address
223 Miller Rd
Avon Lake, OH 44012-1004
Phone
(440) 930-2002
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0043489 OH Primary

Addresses

Primary practice location

223 Miller Rd
Avon Lake, OH 44012-1004

Mailing address

43625 Oberlin Elyria Rd
Oberlin, OH 44074-9767
Phone (440) 636-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1093629859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43625 OBERLIN ELYRIA RD",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440749767",
            "telephone_number": "440-636-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MILLER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121004",
            "telephone_number": "440-930-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIG",
        "first_name": "MARIAH",
        "middle_name": "JORDAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0043489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.