Christie Lynn Thacker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN117913 Issued in OH

Practice address

133 1/2 Charles CT
Elyria, OH 44035-6021

Phone

(440) 371-0619

NPI assigned

Oct 28, 2011

Last updated

Oct 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1407132921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 1/2 CHARLES CT",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356021",
            "telephone_number": "440-371-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 1/2 CHARLES CT",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356021",
            "telephone_number": "440-371-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN117913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Marie Taylor, R.N.
• Holly L Taylor, SLP
• Jasmine R Taylor
• Patricia Taylor, CNP
• Mary Ann Teitelbaum, PHD
• Kristin Marie Thacker
• The Cleveland Clinic Foundation (Cleveland Clinic Chestnut Commons FHC and ASC)
• The Cleveland Clinic Foundation
• The Genesis Center
• The Genesis Center

• Licensed Practical Nurse in Elyria, OH
• Providers in Elyria, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.