Individual provider Active NPI

Ivory Ann Magwood, NURSING

  • Nurse's Aide
  • Cleveland, OH
National Provider Identifier
1235950403
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
402259570420 Issued in OH
Practice address
3418 W 127TH St
Cleveland, OH 44111-2622
Phone
(216) 213-9137
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 402259570420 OH Primary

Addresses

Primary practice location

3418 W 127TH St
Cleveland, OH 44111-2622

Mailing address

3418 W 127TH St
Cleveland, OH 44111-2622
Phone (216) 213-9137

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
402259570420OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1235950403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 W 127TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112622",
            "telephone_number": "216-213-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 W 127TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112622",
            "telephone_number": "216-213-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGWOOD",
        "first_name": "IVORY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "NURSING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "402259570420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.