Edwin Scott Nethery, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

124528 Issued in OH

Practice address

2953 Rockefeller Rd
Willoughby Hills, OH 44092-1425

Phone

(440) 836-2532

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1184991747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 ROCKEFELLER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440921425",
            "telephone_number": "440-836-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 ROCKEFELLER RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440921425",
            "telephone_number": "440-836-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERY",
        "first_name": "EDWIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "124528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keona Murray
• Kathryn Snow Muzina, MD
• James Louis Nagy, P.T.
• Erika Ann Nathan, MD
• Cristina Nedelcu, PHD
• Rakaysia N'Shae Newberry
• Tim J Nice, M.D.
• Aaron James Nixon, QMHS
• Payton Noggy
• Te'Ana Norris

• Licensed Practical Nurse in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.