Individual provider Active NPI

Heather Yourich, LPN

  • Licensed Practical Nurse
  • Wellington, OH
National Provider Identifier
1508296096
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN154583 Issued in OH
Practice address
26495 Hawley Rd
Wellington, OH 44090-9316
Phone
(440) 315-5475
NPI assigned
Nov 19, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN154583 OH Primary

Addresses

Primary practice location

26495 Hawley Rd
Wellington, OH 44090-9316

Mailing address

26495 Hawley Rd
Wellington, OH 44090-9316
Phone (440) 315-5475

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

LicenseStateTypeSpecialty
PN154583OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1508296096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26495 HAWLEY RD",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440909316",
            "telephone_number": "440-315-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26495 HAWLEY RD",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440909316",
            "telephone_number": "440-315-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOURICH",
        "first_name": "HEATHER",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN154583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.