Active NPI
Kevann Kimberly Sheets, LPN
- Licensed Practical Nurse
- Delaware, OH
National Provider Identifier
1114935467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN096547
- Practice address
- 3999 State Route 521
Delaware, OH 43015-8761 - Phone
- (740) 815-8980
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN096547 | OH | Primary |
Addresses
Primary practice location
3999 State Route 521
Delaware, OH 43015-8761
Mailing address
3999 State Route 521
Delaware, OH 43015-8761
Phone (740) 815-8980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2372954 | Medicaid | OH |
Other names 1
- Ms. Kevann Kimberly Rayburn
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 |
|---|---|---|---|
| PN096547 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1114935467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3999 STATE ROUTE 521",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430158761",
"telephone_number": "740-815-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 STATE ROUTE 521",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430158761",
"telephone_number": "740-815-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEETS",
"first_name": "KEVANN",
"middle_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN096547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2372954",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEVANN",
"last_name": "RAYBURN",
"middle_name": "KIMBERLY",
"prefix": "MS.",
"credential": "LPN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.