Individual provider Active NPI

Melba Jeaneen Bearden, LPN

  • Licensed Practical Nurse
  • Mayfield Heights, OH
National Provider Identifier
1134422504
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
139210 Issued in OH
Practice address
1451 Orchard Heights Dr
Mayfield Heights, OH 44124-1733
Phone
(216) 551-1620
Fax
(440) 684-0372
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 139210 OH Primary

Addresses

Primary practice location

1451 Orchard Heights Dr
Mayfield Heights, OH 44124-1733

Mailing address

1451 Orchard Heights Dr
Mayfield Heights, OH 44124-1733
Phone (216) 551-1620

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

LicenseStateTypeSpecialty
139210OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1134422504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ORCHARD HEIGHTS DR",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441241733",
            "telephone_number": "216-551-1620",
            "fax_number": "440-684-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ORCHARD HEIGHTS DR",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441241733",
            "telephone_number": "216-551-1620",
            "fax_number": "440-684-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "MELBA",
        "middle_name": "JEANEEN",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "139210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.