Individual provider Active NPI

Deborah Carmany, APRN-CNP

  • Gerontology Nurse Practitioner
  • Massillon, OH
National Provider Identifier
1124527585
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.022320 Issued in OH
Practice address
435 Avis Ave NW
Massillon, OH 44646-3555
Phone
(330) 837-1741
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.022320 OH Primary

Addresses

Primary practice location

435 Avis Ave NW
Massillon, OH 44646-3555

Mailing address

4700 Ashwood Dr
Blue Ash, OH 45241-2465
Phone (800) 989-7337

Other practice location 1

4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424
Phone (800) 989-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307000519 OH Practitioner - Nurse Practitioner 5890056907 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Jan 21, 2024 Accepting new patients

Locations

7800 Jandaracres Dr
Cincinnati, OH 45248
Phone (513) 941-0787

435 Avis Ave NW
Massillon, OH 44646
Phone (330) 837-1741

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1124527585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412465",
            "telephone_number": "800-989-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 AVIS AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463555",
            "telephone_number": "330-837-1741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Ashwood Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452412424",
            "country_code": "US",
            "telephone_number": "800-989-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMANY",
        "first_name": "DEBORAH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.022320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.