Nicole Lynn Cass, RN,BSN
Individual provider Active NPI Registered Nurse · Ottawa, OH
NPI 1497334452 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1497334452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.411995 (OH)
- Practice address
- 305 W Main St
Ottawa, OH 45875-1725 - Phone
- (419) 523-6030
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.411995 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.411995 | OH | Yes |
Addresses
Primary practice location
305 W Main St
Ottawa, OH 45875-1725
Mailing address
13580 Road 14L
Columbus Grove, OH 45830-9769
Phone (419) 204-1242
Other names
- Mrs. Nicole Lynn Nordhaus
Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.