Carol I Peake, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN-177161 NP-09813 Issued in OH

Practice address

5830 Woodrow Dr
Sylvania, OH 43560-1245

Phone

(419) 481-3493

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Carol I Peake Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Randy L. Climo, M.D., Inc.

  • Adult Medicine Physician
  • Maumee, OH
  • NPI 1861446940
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1467635664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 WOODROW DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601245",
            "telephone_number": "419-481-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 WOODROW DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601245",
            "telephone_number": "419-481-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE",
        "first_name": "CAROL",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN-177161 NP-09813",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704194858   NP-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROL I PEAKE LLC, NPI 2",
            "identifier": "1992015135",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1467635664",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "PEAKE",
            "middle_name": "I",
            "prefix": "MRS.",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dawn D Patridge, LMT
• Kenya Pavlich
• Brittany Pawlak, LPC
• Brithany Pawloski, PSY.D
• Courtney Payne, P.A.
• Andrew James Peatee
• Adam Peckinpaugh, PA-C
• Jennifer Lynn Pelton, OTA/L
• Suzanne Marie Perlaky
• Katrice Perry

• Family Nurse Practitioner in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.