Individual provider Active NPI

Vivian Marie Thornton, RN, MSN

  • Registered Nurse
  • Bedford, OH
National Provider Identifier
1306008289
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 257137 Issued in OH
Practice address
136 Talbot Dr
Bedford, OH 44146-2814
Phone
(440) 439-4246
Fax
(440) 786-1885
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 257137 OH Primary

Addresses

Primary practice location

136 Talbot Dr
Bedford, OH 44146-2814

Mailing address

136 Talbot Dr
Bedford, OH 44146-2814
Phone (440) 439-4246

Other identifiers 1

IdentifierTypeStateIssuer
2625412MedicaidOH

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 257137OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1306008289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 TALBOT DR",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462814",
            "telephone_number": "440-439-4246",
            "fax_number": "440-786-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 TALBOT DR",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462814",
            "telephone_number": "440-439-4246",
            "fax_number": "440-786-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "VIVIAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 257137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.