Active NPI
Niela Vicnesha Patton, LPN
- Licensed Practical Nurse
- Cleveland, OH
National Provider Identifier
1508032830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN.126146 IV
- Practice address
- 10323 Adams Ave
Cleveland, OH 44108-3214 - Phone
- (216) 854-3646
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.126146 IV | OH | Primary |
Addresses
Primary practice location
10323 Adams Ave
Cleveland, OH 44108-3214
Mailing address
10323 Adams Ave
Cleveland, OH 44108-3214
Phone (216) 854-3646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2816742 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN.126146 IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1508032830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10323 ADAMS AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441083214",
"telephone_number": "216-854-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10323 ADAMS AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441083214",
"telephone_number": "216-854-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "NIELA",
"middle_name": "VICNESHA",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.126146 IV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2816742",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.