Active NPI
Vanessa Patterson, LMT.
- Specialist
- Mentor, OH
National Provider Identifier
1114358223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 33.017281 N-R
- Practice address
- 7519 Mentor Ave
Mentor, OH 44060-5434 - Phone
- (440) 882-6985
- NPI assigned
- Nov 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 33.017281 N-R | OH | Primary |
Addresses
Primary practice location
7519 Mentor Ave
Mentor, OH 44060-5434
Mailing address
3084 Livingston Rd Apt 2
Shaker HTS, OH 44120-3261
Phone (216) 694-1966
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 |
|---|---|---|---|
| 33.017281 N-R | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385683200000",
"number": "1114358223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3084 LIVINGSTON RD APT 2",
"city": "SHAKER HTS",
"state": "OH",
"postal_code": "441203261",
"telephone_number": "216-694-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7519 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605434",
"telephone_number": "440-882-6985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "VANESSA",
"credential": "LMT.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-29",
"last_updated": "2013-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "33.017281 N-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.