Emily Kaye Petersheim

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.415936 Issued in OH

Practice address

8193 E Lincoln Way
Apple Creek, OH 44606-9517

Phone

(330) 347-8584

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

No

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1124514914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 TOWNSHIP ROAD 1500",
            "city": "JEROMESVILLE",
            "state": "OH",
            "postal_code": "448409715",
            "telephone_number": "330-439-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8193 E LINCOLN WAY",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446069517",
            "telephone_number": "330-347-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSHEIM",
        "first_name": "EMILY",
        "middle_name": "KAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.415936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hudson, MS, CCC-SLP
• Leota M. Hutchison
• Carleen K Long, LPN
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• Revival Therapy & Consulting, LLC
• Lisa Ann Rumbaugh, M.A., CCC-SLP
• Ruth A Shipley, CNM
• Valerie Shure
• Brittany Sidol

• Registered Nurse in Apple Creek, OH
• Providers in Apple Creek, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.