Active NPI
Denise K Tilocco, LPN
- Licensed Practical Nurse
- Pepper Pike, OH
National Provider Identifier
1598062572
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN.083546-MEDS
- Practice address
- 3737 Lander Rd
Pepper Pike, OH 44124-5712 - Phone
- (216) 831-2255
- Fax
- (216) 378-3906
- NPI assigned
- Feb 28, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.083546-MEDS | OH | Primary |
Addresses
Primary practice location
3737 Lander Rd
Pepper Pike, OH 44124-5712
Mailing address
3737 Lander Rd
Pepper Pike, OH 44124-5712
Phone (216) 831-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268768 | Medicaid | OH |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.083546-MEDS | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1598062572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 LANDER RD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441245712",
"telephone_number": "216-831-2255",
"fax_number": "216-378-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 LANDER RD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441245712",
"telephone_number": "216-831-2255",
"fax_number": "216-378-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILOCCO",
"first_name": "DENISE",
"middle_name": "K",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-28",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.083546-MEDS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268768",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pepper Pike, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.