Active NPI
Tina Somerville, LPN
- Licensed Practical Nurse
- Athens, OH
National Provider Identifier
1598217895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 106488
- Practice address
- 90 Hospital Dr
Athens, OH 45701-2301 - Phone
- (740) 592-3091
- Fax
- (740) 775-7855
- NPI assigned
- Nov 3, 2016
- Last updated
- Nov 3, 2016
- 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 | 106488 | WV | Primary |
Addresses
Primary practice location
90 Hospital Dr
Athens, OH 45701-2301
Mailing address
90 Hospital Dr
Athens, OH 45701-2301
Phone (740) 592-3091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106488 | Other | WV | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106488 | WV | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1598217895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012301",
"telephone_number": "740-592-3091",
"fax_number": "740-775-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012301",
"telephone_number": "740-592-3091",
"fax_number": "740-775-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERVILLE",
"first_name": "TINA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WV",
"license": "106488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "106488",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.