Active NPI
Brenda McMahon
- Licensed Practical Nurse
- Worthington, OH
National Provider Identifier
1437606654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN52978
- Practice address
- 6500 Northland Rd
Worthington, OH 43085-3235 - Phone
- (614) 450-4800
- Fax
- (614) 883-3310
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN52978 | OH | Primary |
Addresses
Primary practice location
6500 Northland Rd
Worthington, OH 43085-3235
Mailing address
6500 Northland Rd
Worthington, OH 43085-3235
Phone (614) 450-4800
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN52978 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1437606654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 NORTHLAND RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853235",
"telephone_number": "614-450-4800",
"fax_number": "614-883-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 NORTHLAND RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853235",
"telephone_number": "614-450-4800",
"fax_number": "614-883-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "BRENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN52978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.