Golden Years Nurse Practitioner Services LLC

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

Legal business name

GOLDEN YEARS NURSE PRACTITIONER SERVICES LLC

Practice address

3107 Lovers LN
Ravenna, OH 44266-8930

Phone

(330) 389-1449

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Sheridan R Hull, NP

Title

President

Phone

(330) 389-1449

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1326280777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 LOVERS LN",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668930",
            "telephone_number": "330-389-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 LOVERS LN",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668930",
            "telephone_number": "330-389-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS NURSE PRACTITIONER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "SHERIDAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-389-1449",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2947744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke A Giger
• Jennifer Ginsberg, MD
• Kevin Glavin
• Heather Ashley Gleason
• Justin Freeman Gleason
• Thomas R Golden, CNP
• Alanna Frances Gonzales, PEER SUPPORT
• Travis John Gorby
• Molly Graber
• Elaine Lynn Grant

• General Practice Registered Nurse in Ravenna, OH
• Providers in Ravenna, OH by specialty
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.