Active NPI
Elizabeth Grdic, RN
- School Registered Nurse
- Austintown, OH
National Provider Identifier
1144699349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN282909
- Practice address
- 700 S Raccoon Rd
Austintown, OH 44515-3536 - Phone
- (330) 797-3900
- Fax
- (330) 797-3944
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN282909 | OH | Primary |
Addresses
Primary practice location
700 S Raccoon Rd
Austintown, OH 44515-3536
Mailing address
452 S Briarcliff Dr
Canfield, OH 44406-1017
Phone (330) 797-3900
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN282909 | OH | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austintown Local School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Austintown, OH
- NPI 1588801583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1144699349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 S BRIARCLIFF DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061017",
"telephone_number": "330-797-3900",
"fax_number": "330-797-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S RACCOON RD",
"city": "AUSTINTOWN",
"state": "OH",
"postal_code": "445153536",
"telephone_number": "330-797-3900",
"fax_number": "330-797-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRDIC",
"first_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "OH",
"license": "RN282909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austintown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.