Individual provider Active NPI

Cynthia L Paoletta, RN

  • Community Health Registered Nurse
  • Medina, OH
National Provider Identifier
1194056614
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN 216967 Issued in OH
Practice address
3355 Marks Rd
Medina, OH 44256-8321
Phone
(330) 723-2783
Fax
(330) 723-3052
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X RN 216967
Administrator Registered Nurse 163WA2000X RN OH
Critical Care Medicine Registered Nurse 163WC0200X RN 216967 OH
Community Health Registered Nurse 163WC1500X RN 216967 OH Primary
Case Manager/Care Coordinator 171M00000X RN 216967 OH
Community Health Worker 172V00000X RN 216967 OH
Adult Companion 372600000X RN 216967 OH

Addresses

Primary practice location

3355 Marks Rd
Medina, OH 44256-8321

Mailing address

3355 Marks Rd
Medina, OH 44256-8321
Phone (330) 723-2783

Other identifiers 1

IdentifierTypeStateIssuer
2221796MedicaidOH

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

LicenseStateTypeSpecialty
RNOHMDRegistered Nurse
RN 216967OHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Carcyn Services Inc. 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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1194056614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MARKS RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568321",
            "telephone_number": "330-723-2783",
            "fax_number": "330-723-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MARKS RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568321",
            "telephone_number": "330-723-2783",
            "fax_number": "330-723-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLETTA",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": "RN 216967",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "RN",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN 216967",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "RN 216967",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "RN 216967",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "RN 216967",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "OH",
            "license": "RN 216967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2221796",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.