Individual provider Active NPI

Jewlie Marie Piepenbrok, STNA

  • Nurse's Aide
  • Sheffield Lake, OH
National Provider Identifier
1437490331
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401370280312 Issued in OH
Practice address
215 Mariners Cir Apt C
Sheffield Lake, OH 44054-3002
Phone
(419) 706-1997
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401370280312 OH Primary

Addresses

Primary practice location

215 Mariners Cir Apt C
Sheffield Lake, OH 44054-3002

Mailing address

215 Mariners Cir Apt C
Sheffield Lake, OH 44054-3002
Phone (419) 706-1997

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
401370280312OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1437490331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MARINERS CIR APT C",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440543002",
            "telephone_number": "419-706-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MARINERS CIR APT C",
            "city": "SHEFFIELD LAKE",
            "state": "OH",
            "postal_code": "440543002",
            "telephone_number": "419-706-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEPENBROK",
        "first_name": "JEWLIE",
        "middle_name": "MARIE",
        "credential": "STNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401370280312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.