Active NPI
Carrie Sue Pryor-Brown, LPN
- Licensed Practical Nurse
- Massillon, OH
National Provider Identifier
1194293829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.148533.MEDS-IV
- Practice address
- 3545 Lincoln Way E
Massillon, OH 44646-8624 - Phone
- (833) 510-4357
- NPI assigned
- Nov 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.148533.MEDS-IV | OH | Primary |
Addresses
Primary practice location
3545 Lincoln Way E
Massillon, OH 44646-8624
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other practice location 1
2600 Sixth St SW Fl 6
Canton, OH 44710-1702
Phone (330) 830-3393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0281892 | Medicaid | OH |
Other names 1
- Carrie Sue Pryor
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.148533.MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commquest 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1841550696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1194293829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 LINCOLN WAY E",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446468624",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [
{
"address_1": "2600 Sixth St SW Fl 6",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447101702",
"country_code": "US",
"telephone_number": "330-830-3393",
"fax_number": "234-521-7091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRYOR-BROWN",
"first_name": "CARRIE",
"middle_name": "SUE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.148533.MEDS-IV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0281892",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "PRYOR",
"middle_name": "SUE",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.