Heather Cleveland, LPN

Key facts

NPI

1497082358

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

124190 (OH)

Practice address

1496 N Market St
Galion, OH 44833-9352

Phone

(419) 566-0441

NPI assigned

Nov 12, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 12, 2009.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1497082358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 N MARKET ST",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448339352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 N MARKET ST",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448339352",
            "telephone_number": "419-566-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "HEATHER",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "124190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galion, OH

• Christina Angelee Williams
• Raygan Ciballi
• Kimberly Sue Ciccero, DPM
• City of Galion
• City of Galion
• Ernie Ray Clifton II, CNP
• Karen Renee Clifton
• Erica Lynn Clinker, NURSE PRACTITIONER
• Holly Clum
• Hannah Elizabeth Cochran

All providers in Galion, OH · Licensed Practical Nurse in Ohio