Individual provider Active NPI

Larunda Lashan Wesley

  • Nurse's Aide
  • Euclid, OH
National Provider Identifier
1194037655
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
375836040896 Issued in OH
Practice address
250 E 257TH St
Euclid, OH 44132-1048
Phone
(216) 289-0814
Fax
(216) 289-0814
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 375836040896 OH Primary

Addresses

Primary practice location

250 E 257TH St
Euclid, OH 44132-1048

Mailing address

250 E 257TH St
Euclid, OH 44132-1048
Phone (216) 289-0814

Other names 1

  • Larunda Lashan Wesley Former name

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
375836040896OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1194037655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 257TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321048",
            "telephone_number": "216-289-0814",
            "fax_number": "216-289-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 257TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321048",
            "telephone_number": "216-289-0814",
            "fax_number": "216-289-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "LARUNDA",
        "middle_name": "LASHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "375836040896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARUNDA",
            "last_name": "WESLEY",
            "middle_name": "LASHAN",
            "credential": "NURSING ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.