Individual provider Active NPI

Carole L Kommer, R.N.

  • Registered Nurse
  • Mansfield, OH
National Provider Identifier
1508094194
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN. 259899 Issued in OH
Practice address
1275 Beal Road
Mansfield, OH 44903-9218
Phone
(419) 989-8906
Fax
(419) 529-9793
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 107200093 OH
Registered Nurse 163W00000X RN. 259899 OH Primary

Addresses

Primary practice location

1275 Beal Road
Mansfield, OH 44903-9218

Mailing address

1275 Beal Road
Mansfield, OH 44903-9218
Phone (419) 989-8906

Other names 1

  • Cookie Kommer Professional name

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
RN. 259899OHMDRegistered Nurse
107200093OHMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1508094194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BEAL ROAD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039218",
            "telephone_number": "419-989-8906",
            "fax_number": "419-529-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 BEAL ROAD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039218",
            "telephone_number": "419-989-8906",
            "fax_number": "419-529-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMER",
        "first_name": "CAROLE",
        "middle_name": "L",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "OH",
            "license": "107200093",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN. 259899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COOKIE",
            "last_name": "KOMMER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.