Individual provider Active NPI

Cathy Marie Cremeans, L.P.N

  • Licensed Practical Nurse
  • Marysville, OH
National Provider Identifier
1477612356
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN-081121 Issued in OH
Practice address
292 Redwood Dr
Marysville, OH 43040-3101
Phone
(937) 644-8339
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN-081121 OH Primary

Addresses

Primary practice location

292 Redwood Dr
Marysville, OH 43040-3101

Mailing address

292 Redwood Dr
Marysville, OH 43040-3101
Phone (937) 644-8339

Other identifiers 1

IdentifierTypeStateIssuer
2125248MedicaidOH

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
PN-081121OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1477612356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 REDWOOD DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430403101",
            "telephone_number": "937-644-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 REDWOOD DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430403101",
            "telephone_number": "937-644-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMEANS",
        "first_name": "CATHY",
        "middle_name": "MARIE",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-081121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.