Individual provider Active NPI

Jade Lytle

  • Licensed Practical Nurse
  • Youngstown, OH
National Provider Identifier
1285449157
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.183232.MEDS-IV Issued in OH
Practice address
711 Belmont Ave
Youngstown, OH 44502-1039
Phone
(330) 793-2487
Fax
(330) 743-5748
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Licensed Practical Nurse 164W00000X LPN.183232.MEDS-IV OH Primary

Addresses

Primary practice location

711 Belmont Ave
Youngstown, OH 44502-1039

Mailing address

711 Belmont Ave
Youngstown, OH 44502-1039
Phone (330) 793-2487

Other practice location 1

142 Javit Ct
Youngstown, OH 44515-2409
Phone (330) 793-2487

Other practice location 2

108 W Western Reserve Rd
Youngstown, OH 44514-3522
Phone (330) 793-2487

Other practice location 3

1960 E County Line Rd
Mineral Ridge, OH 44440-9451
Phone (330) 793-2487

Other practice location 4

939 Wilkinson Ave
Youngstown, OH 44509-2159
Phone (330) 793-2487

Other practice location 5

8790 E Market St Ste 100
Warren, OH 44484-2380
Phone (330) 793-2487

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
LPN.183232.MEDS-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1285449157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Javit Ct",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445152409",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W Western Reserve Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445143522",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Mineral Ridge",
            "state": "OH",
            "postal_code": "444409451",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Wilkinson Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445092159",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8790 E Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842380",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.183232.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.