Individual provider Active NPI

Brandi L Lingenhoel, APRN

  • Family Nurse Practitioner
  • Massillon, OH
National Provider Identifier
1134743404
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
399133 Issued in OH
Practice address
1712 Cadbury St NW
Massillon, OH 44646-2894
Phone
(234) 214-3388
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 399133 OH Primary

Addresses

Primary practice location

1712 Cadbury St NW
Massillon, OH 44646-2894

Mailing address

1712 Cadbury St NW
Massillon, OH 44646-2894
Phone (234) 214-3388

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
I20210505000641 OH Practitioner - Nurse Practitioner 1052720927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
399133OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1134743404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CADBURY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462894",
            "telephone_number": "234-214-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CADBURY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462894",
            "telephone_number": "234-214-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGENHOEL",
        "first_name": "BRANDI",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "399133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.