Active NPI
Brooklyn Ehling
- Registered Nurse
- Springfield, OH
National Provider Identifier
1104552900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.536309
- Practice address
- 474 N Yellow Springs St
Springfield, OH 45504-2463 - Phone
- (937) 399-9500
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.536309 | OH | Primary |
| Licensed Practical Nurse | 164W00000X | LPN.174673.MEDS-IV | OH |
Addresses
Primary practice location
474 N Yellow Springs St
Springfield, OH 45504-2463
Mailing address
474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500
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.536309 | OH | MD | Registered Nurse |
| LPN.174673.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1104552900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 N YELLOW SPRINGS ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042463",
"telephone_number": "937-399-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 N YELLOW SPRINGS ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042463",
"telephone_number": "937-399-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHLING",
"first_name": "BROOKLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.536309",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.174673.MEDS-IV",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.