Jill Degraff-Kuhen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN103822 Issued in OH

Practice address

5975 Campbell Rd
Mentor on the Lake, OH 44060-3021

Phone

(440) 339-2732

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1114340486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 CAMPBELL RD",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440603021",
            "telephone_number": "440-339-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 CAMPBELL RD",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440603021",
            "telephone_number": "440-339-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFF-KUHEN",
        "first_name": "JILL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN103822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Renee Cardinale
• City of Mentor on the Lake
• Jaliah Nicole Clisby
• Todd Colao, ATC
• Pamela Jean Daly, OTR/L
• Danielle Dickerson, RN
• Ariel Olina Elmore
• Enamor Homecare
• Sarah Marie Faetanini
• Makilah Rae Furlan, FNP-C

• Licensed Practical Nurse in Mentor on the Lake, OH
• Providers in Mentor on the Lake, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.