Individual provider Active NPI

Jeri Candace Bond, LPN WCC

  • Licensed Practical Nurse
  • The Plains, OH
National Provider Identifier
1407272313
Registry record updated Mar 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.103816-M-IV Issued in OH
Practice address
3 E 4TH St
The Plains, OH 45780-1306
Phone
(740) 590-8503
NPI assigned
Mar 16, 2014
Last updated
Mar 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.103816-M-IV OH Primary

Addresses

Primary practice location

3 E 4TH St
The Plains, OH 45780-1306

Mailing address

3 E 4TH St
The Plains, OH 45780-1306

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

State licenses

LicenseStateTypeSpecialty
PN.103816-M-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394928000000",
    "number": "1407272313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E 4TH ST",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457801306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 4TH ST",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457801306",
            "telephone_number": "740-590-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JERI",
        "middle_name": "CANDACE",
        "credential": "LPN WCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-16",
        "last_updated": "2014-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.103816-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Plains, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2014; 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.