Active NPI
Melissa E Yovanovich, STNA
- Nurse's Aide
- Burbank, OH
National Provider Identifier
1205166378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 370047190601
- Practice address
- 12257 Gearhart Rd
Burbank, OH 44214-9724 - Phone
- (330) 624-1305
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 370047190601 | OH | Primary |
Addresses
Primary practice location
12257 Gearhart Rd
Burbank, OH 44214-9724
Mailing address
12257 Gearhart Rd
Burbank, OH 44214-9724
Phone (330) 624-1305
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 |
|---|---|---|---|
| 370047190601 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1205166378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12257 GEARHART RD",
"city": "BURBANK",
"state": "OH",
"postal_code": "442149724",
"telephone_number": "330-624-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12257 GEARHART RD",
"city": "BURBANK",
"state": "OH",
"postal_code": "442149724",
"telephone_number": "330-624-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOVANOVICH",
"first_name": "MELISSA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "370047190601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.