Individual provider Active NPI

Patrice Ellen Rancour, MS, RN, PMHCNS-BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Columbus, OH
National Provider Identifier
1376814996
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
COA01381 NS Issued in OH
Practice address
2000 Kenny Rd
Columbus, OH 43221-3555
Phone
(614) 293-7777
Fax
(614) 293-9776
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN-125605 OH
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X COA01381 NS OH Primary

Addresses

Primary practice location

2000 Kenny Rd
Columbus, OH 43221-3555

Mailing address

2000 Kenny Rd
Columbus, OH 43221-3555
Phone (614) 293-7777

Other identifiers 1

IdentifierTypeStateIssuer
0081646MedicaidOH

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
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-125605OHMDAdult Psychiatric/Mental Health Registered Nurse
COA01381 NSOHMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1376814996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213555",
            "telephone_number": "614-293-7777",
            "fax_number": "614-293-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213555",
            "telephone_number": "614-293-7777",
            "fax_number": "614-293-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCOUR",
        "first_name": "PATRICE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MS, RN, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN-125605",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA01381  NS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081646",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.