Individual provider Active NPI

Richard Paul Cretini, R.N.

  • Registered Nurse
  • Cincinnati, OH
National Provider Identifier
1144653841
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN111759 Issued in LA
Practice address
4261 Kirby Ave
Cincinnati, OH 45223-2030
Phone
(504) 756-5751
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN111759 LA Primary
Registered Nurse 163W00000X 394194 OH

Addresses

Primary practice location

4261 Kirby Ave
Cincinnati, OH 45223-2030

Mailing address

4261 Kirby Ave
Cincinnati, OH 45223-2030
Phone (504) 756-5751

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN111759LAMDRegistered Nurse
394194OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1144653841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 KIRBY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452232030",
            "telephone_number": "504-756-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 KIRBY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452232030",
            "telephone_number": "504-756-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETINI",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN111759",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "394194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.