Active NPI
Elaine Dissauer, RN
- Home Health Registered Nurse
- Chardon, OH
National Provider Identifier
1417075979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 2449818
- Practice address
- 9584 Foxwood Dr
Chardon, OH 44024 - Phone
- (440) 285-4458
- Fax
- (440) 285-4458
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 2449818 | OH | Primary |
Addresses
Primary practice location
9584 Foxwood Dr
Chardon, OH 44024
Mailing address
9584 Foxwood Dr
Chardon, OH 44024
Phone (440) 285-4458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2449818 | Other | OH | RN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2449818 | OH | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417075979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9584 FOXWOOD DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "44024",
"telephone_number": "440-285-4458",
"fax_number": "440-285-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9584 FOXWOOD DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "44024",
"telephone_number": "440-285-4458",
"fax_number": "440-285-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISSAUER",
"first_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "2449818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "2449818",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.