Individual provider Active NPI

Maya Elizabeth Lee Kremling

  • Driver
  • Aurora, OH
National Provider Identifier
1568062164
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
7719061 Issued in OH
Practice address
10626 Durrey CT
Aurora, OH 44202-8192
Phone
(330) 703-0546
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 7719061 OH Primary

Addresses

Primary practice location

10626 Durrey CT
Aurora, OH 44202-8192

Mailing address

2269 Caffrey CT
Stow, OH 44224-5496
Phone (330) 703-0546

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
7719061OHMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1568062164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 CAFFREY CT",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442245496",
            "telephone_number": "330-703-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10626 DURREY CT",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028192",
            "telephone_number": "330-703-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMLING",
        "first_name": "MAYA",
        "middle_name": "ELIZABETH LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "7719061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.