Individual provider Active NPI

Carolyn E. Pytlik, CRNA, RN

  • Certified Registered Nurse Anesthetist
  • Vienna, OH
National Provider Identifier
1487612115
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
GRN-1G075G12G Issued in OH
Practice address
1024 Sodom Hutchings Rd SE
Vienna, OH 44473-9623
Phone
(330) 539-0147
Fax
(330) 539-0147
NPI assigned
May 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X GRN-1G075G12G OH Primary

Addresses

Primary practice location

1024 Sodom Hutchings Rd SE
Vienna, OH 44473-9623

Mailing address

1024 Sodom Hutchings Rd SE
Vienna, OH 44473-9623
Phone (330) 539-0147

Other identifiers 1

IdentifierTypeStateIssuer
0836573MedicaidOH

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

LicenseStateTypeSpecialty
GRN-1G075G12GOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Millenium Anesthesia LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487612115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 SODOM HUTCHINGS RD SE",
            "city": "VIENNA",
            "state": "OH",
            "postal_code": "444739623",
            "telephone_number": "330-539-0147",
            "fax_number": "330-539-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 SODOM HUTCHINGS RD SE",
            "city": "VIENNA",
            "state": "OH",
            "postal_code": "444739623",
            "telephone_number": "330-539-0147",
            "fax_number": "330-539-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYTLIK",
        "first_name": "CAROLYN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "CRNA, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "GRN-1G075G12G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.