Individual provider Active NPI

Patricia Diane Metzler, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Leavittsburg, OH
National Provider Identifier
1316326390
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.16000-NP Issued in OH
Practice address
5701 Burnett Rd
Leavittsburg, OH 44430-9713
Phone
(330) 898-0820
Fax
(330) 898-9771
NPI assigned
May 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.16000-NP OH Primary

Addresses

Primary practice location

5701 Burnett Rd
Leavittsburg, OH 44430-9713

Mailing address

14137 Mahoning Ave
North Jackson, OH 44451-9616
Phone (330) 469-1185

Other practice location 1

14121 Parke Long Ct
Suite 201
Chantilly, VA 20151-1647
Phone (571) 364-7110

Other practice location 2

2240 Hubbard Rd
Youngstown, OH 44505-3157
Phone (330) 746-3777

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.16000-NPOHMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1316326390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14137 MAHONING AVE",
            "city": "NORTH JACKSON",
            "state": "OH",
            "postal_code": "444519616",
            "telephone_number": "330-469-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BURNETT RD",
            "city": "LEAVITTSBURG",
            "state": "OH",
            "postal_code": "444309713",
            "telephone_number": "330-898-0820",
            "fax_number": "330-898-9771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "571-364-7110",
            "fax_number": "800-752-2471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Hubbard Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445053157",
            "country_code": "US",
            "telephone_number": "330-746-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZLER",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.16000-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavittsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; 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.