Individual provider Active NPI

Dean'NA Lynn Cruea, LMT

  • Contractor
  • Hillsboro, OH
National Provider Identifier
1154645380
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
33.017751 Issued in OH
Practice address
902 N High St Apt a
Hillsboro, OH 45133-1576
Phone
(937) 393-0988
Fax
(937) 393-0988
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 33.017751 OH Primary

Addresses

Primary practice location

902 N High St Apt a
Hillsboro, OH 45133-1576

Mailing address

902 N. High Street Suite a
Hillsboro, OH 45133
Phone (937) 393-0988

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
33.017751OHMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1154645380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N. HIGH STREET SUITE A",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-0988",
            "fax_number": "937-393-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N HIGH ST APT A",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451331576",
            "telephone_number": "937-393-0988",
            "fax_number": "937-393-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUEA",
        "first_name": "DEAN'NA",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "33.017751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.