Active NPI
Navid Amirtabar
- Licensed Practical Nurse
- Hebron, OH
National Provider Identifier
1104209071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 148443
- Practice address
- 120 Simeon Dr
Hebron, OH 43025-9497 - Phone
- (614) 446-2843
- NPI assigned
- Jul 9, 2015
- Last updated
- Jul 9, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 148443 | OH | Primary |
Addresses
Primary practice location
120 Simeon Dr
Hebron, OH 43025-9497
Mailing address
120 Simeon Dr
Hebron, OH 43025-9497
Phone (614) 446-2843
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 |
|---|---|---|---|
| 148443 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1104209071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SIMEON DR",
"city": "HEBRON",
"state": "OH",
"postal_code": "430259497",
"telephone_number": "614-446-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SIMEON DR",
"city": "HEBRON",
"state": "OH",
"postal_code": "430259497",
"telephone_number": "614-446-2843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIRTABAR",
"first_name": "NAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "148443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hebron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.