Coletta Esenwein, R.N.
Individual provider Active NPI Registered Nurse · Streetsboro, OH
NPI 1134523988 · NPPES record last updated Oct 22, 2014
Key facts
- NPI
- 1134523988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 252953 (OH)
- Practice address
- 1310 Vantage Way
Streetsboro, OH 44241-4968 - Phone
- (330) 357-1585
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252953 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 252953 | OH | Yes |
Addresses
Primary practice location
1310 Vantage Way
Streetsboro, OH 44241-4968
Mailing address
1310 Vantage Way
Streetsboro, OH 44241-4968
Phone (330) 357-1585
NPI Registry JSON
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1134523988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 VANTAGE WAY",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442414968",
"telephone_number": "330-357-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 VANTAGE WAY",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442414968",
"telephone_number": "330-357-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESENWEIN",
"first_name": "COLETTA",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "252953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.