Individual provider Active NPI

Patrick Spino, RN

  • Registered Nurse
  • Bowling Green, OH
National Provider Identifier
1376906131
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.243996 Issued in OH
Practice address
1033 Devlac GRV
Bowling Green, OH 43402-4501
Phone
(419) 352-6460
Fax
(419) 352-3407
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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.243996 OH Primary

Addresses

Primary practice location

1033 Devlac GRV
Bowling Green, OH 43402-4501

Mailing address

1033 Devlac GRV
Bowling Green, OH 43402-4501
Phone (419) 352-6460

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.243996OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1376906131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DEVLAC GRV",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024501",
            "telephone_number": "419-352-6460",
            "fax_number": "419-352-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 DEVLAC GRV",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024501",
            "telephone_number": "419-352-6460",
            "fax_number": "419-352-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINO",
        "first_name": "PATRICK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.243996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.