Individual provider Active NPI

Glendora Lynnette Cornist, LPN

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1588058531
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
117691 Issued in OH
Practice address
1028 Nohunta CT
Cincinnati, OH 45231-2569
Phone
(513) 821-5105
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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 117691 OH Primary

Addresses

Primary practice location

1028 Nohunta CT
Cincinnati, OH 45231-2569

Mailing address

1028 Nohunta CT
Cincinnati, OH 45231-2569
Phone (513) 821-5105

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
117691OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1588058531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 NOHUNTA CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312569",
            "telephone_number": "513-821-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 NOHUNTA CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312569",
            "telephone_number": "513-821-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIST",
        "first_name": "GLENDORA",
        "middle_name": "LYNNETTE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "117691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.