Individual provider Active NPI

Charlotte Ann Eyler, LPN

  • Licensed Practical Nurse
  • Waynesville, OH
National Provider Identifier
1528188497
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN-101569 Issued in OH
Practice address
3941 Haines Rd
Waynesville, OH 45068-9610
Phone
(937) 885-7596
Fax
(937) 885-7596
NPI assigned
Apr 2, 2007
Last updated
Apr 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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 PN-101569 OH Primary

Addresses

Primary practice location

3941 Haines Rd
Waynesville, OH 45068-9610

Mailing address

3941 Haines Rd
Waynesville, OH 45068-9610

Other identifiers 1

IdentifierTypeStateIssuer
2689425OtherOHCARESTAR

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
PN-101569OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1528188497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 HAINES RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 HAINES RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450689610",
            "telephone_number": "937-885-7596",
            "fax_number": "937-885-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYLER",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-101569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESTAR",
            "identifier": "2689425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.