Active NPI
Donald Fred Amann, RN
- Home Health Registered Nurse
- Cincinnati, OH
National Provider Identifier
1417153396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN200900
- Practice address
- 4834 Raeburn LN
Cincinnati, OH 45223-1230 - Phone
- (513) 541-4066
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | RN200900 | OH | Primary |
Addresses
Primary practice location
4834 Raeburn LN
Cincinnati, OH 45223-1230
Mailing address
4834 Raeburn LN
Cincinnati, OH 45223-1230
Phone (513) 541-4066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2525360 | Medicaid | OH |
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 |
|---|---|---|---|
| RN200900 | OH | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417153396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4834 RAEBURN LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452231230",
"telephone_number": "513-541-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4834 RAEBURN LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452231230",
"telephone_number": "513-541-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANN",
"first_name": "DONALD",
"middle_name": "FRED",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "RN200900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2525360",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, 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.