Active NPI
Cynthia L Paoletta, RN
- Community Health Registered Nurse
- Medina, OH
National Provider Identifier
1194056614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN 216967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2221796 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN | OH | MD | Registered Nurse |
| RN 216967 | OH | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Ambulance
- Medina, OH
- NPI 1750361705
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.