Active NPI
Jennifer L Quinlan, L.P.N.
- Licensed Practical Nurse
- London, OH
National Provider Identifier
1295891901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN092940
- Practice address
- 2607 Karok Dr
London, OH 43140-9021 - Phone
- (740) 852-4195
- Fax
- (740) 852-4195
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN092940 | OH | Primary |
Addresses
Primary practice location
2607 Karok Dr
London, OH 43140-9021
Mailing address
2607 Karok Dr
London, OH 43140-9021
Phone (740) 852-4195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2082562 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN092940 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295891901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 KAROK DR",
"city": "LONDON",
"state": "OH",
"postal_code": "431409021",
"telephone_number": "740-852-4195",
"fax_number": "740-852-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 KAROK DR",
"city": "LONDON",
"state": "OH",
"postal_code": "431409021",
"telephone_number": "740-852-4195",
"fax_number": "740-852-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINLAN",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN092940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2082562",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.