Active NPI
Connie Close
- School Registered Nurse
- Fremont, OH
National Provider Identifier
1508281767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN 168610
- Practice address
- 500 W State St Ste a
Fremont, OH 43420-2580 - Phone
- (419) 332-6454
- NPI assigned
- Feb 25, 2014
- Last updated
- Feb 25, 2014
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN 168610 | OH | Primary |
Addresses
Primary practice location
500 W State St Ste a
Fremont, OH 43420-2580
Mailing address
4666 Prairie Rd
Bellevue, OH 44811-8923
Phone (419) 217-4070
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 |
|---|---|---|---|
| RN 168610 | OH | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1508281767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4666 PRAIRIE RD",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448118923",
"telephone_number": "419-217-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W STATE ST STE A",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202580",
"telephone_number": "419-332-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "CONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "OH",
"license": "RN 168610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.