Active NPI
Patricia Diane Metzler, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- Leavittsburg, OH
National Provider Identifier
1316326390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA.16000-NP
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| COA.16000-NP | OH | MD | Adult 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.