Individual provider Active NPI

Eleanor F. Lentner, CNP

  • Ambulatory Women's Health Care Registered Nurse
  • Canton, OH
National Provider Identifier
1174775100
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
RN-126003 Issued in OH
Practice address
3969 Convenience Cir NW
Canton, OH 44718-2600
Phone
(330) 493-9914
Fax
(330) 493-9932
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN-126003 OH Primary

Addresses

Primary practice location

3969 Convenience Cir NW
Canton, OH 44718-2600

Mailing address

3969 Convenience Cir NW
Canton, OH 44718-2600
Phone (330) 493-9914

Other identifiers 1

IdentifierTypeStateIssuer
2310510MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-126003OHMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Auditor 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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1174775100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 CONVENIENCE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182600",
            "telephone_number": "330-493-9914",
            "fax_number": "330-493-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 CONVENIENCE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182600",
            "telephone_number": "330-493-9914",
            "fax_number": "330-493-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTNER",
        "first_name": "ELEANOR",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "OH",
            "license": "RN-126003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.